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New York 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 / $1.32 / $2.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $1.32 / $2.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.57 / $0.92 / $3.06
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.66 / $1.79 / $1.79
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.79 / $1.79 / $1.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.50 / $2.50 / $2.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.10 / $1.10
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.14 / $3.92 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.24 / $2.89 / $4.63
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.35 / $0.35 / $1.23
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.35 / $1.23 / $1.31
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.50 / $2.50 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.10 / $3.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $1.28 / $2.35
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.53
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.35 / $1.23 / $1.31