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Alaska rates for HCPCS A6257

Transparent film, sterile, 16 sq in or less, each dressing

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.10 / $1.10
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.68 / $2.04 / $2.87
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.04 / $6.42
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.10 / $2.10 / $3,495.87
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.55 / $2.10 / $2.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.69 / $2.04 / $2.87
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.80 / $2.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.04 / $1.26 / $5.40