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Indiana 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
$1.84 / $1.84 / $2.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $1.28 / $1.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.92 / $0.92 / $1.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $0.92 / $1.30
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.49 / $1.79 / $3.00
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.49 / $1.49 / $2.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.10 / $2.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.61 / $1.07 / $1.53