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Massachusetts 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
$0.94 / $0.94 / $758.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $1.05 / $1.38
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.52 / $3.25 / $80.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.05 / $2.09 / $10.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.84 / $1.03 / $1.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.32 / $1.32 / $1.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.44 / $1.10 / $1.10
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $1.45 / $1.45
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.76 / $1.76 / $1.76
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.34 / $80.00 / $80.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $1.22 / $10.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.76 / $2.09