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New Jersey 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
$1.05 / $1.05 / $1.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $1.05 / $1.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.10 / $1.10
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.14 / $2.80 / $3.75
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.43 / $1.43 / $1.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.97 / $1.07 / $1.65