go back

California rates for HCPCS A6257

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.57 / $0.63 / $6.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.57 / $1.00 / $6.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.67 / $0.80 / $1.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.57 / $0.92 / $1.99
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.25 / $3.16 / $4.54
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.50 / $5.44 / $8.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.10 / $1.10
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.14 / $2.35 / $2.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.68 / $4.92
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.34 / $80.00 / $85.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.66 / $10.66 / $16.05
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.53 / $2.14 / $3.01
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.10 / $2.35
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.05 / $4.05 / $4.05
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.56 / $1.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.86 / $0.97 / $3.13