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New Hampshire rates for HCPCS A6257

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

Facilitymedian $1 · 10th–90th $1–$10%20%40%10th90th$1Professionalmedian $1 · 10th–90th $1–$20%20%10th90th$1$1.0$2.0$5.0$10.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.12 / $1.12 / $1.35
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.91 / $0.91 / $0.91
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.10 / $1.10 / $1.20
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.86 / $1.86 / $3.09
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.91 / $1.74 / $1.86
Well Sense
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.02 / $1.07 / $2.51