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Ohio 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
$1.36 / $1.36 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.36 / $1.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.92 / $1.10 / $2.78
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.47 / $1.69 / $2.89
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $1.47 / $2.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.10 / $1.10
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.70 / $0.91 / $2.50
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.10 / $1.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.21 / $1.21 / $1.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $1.04 / $1.36