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Pennsylvania 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 / $1.68 / $2,115.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $1.32 / $1.71
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$967.00 / $57,255.43 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.14 / $2.14 / $2.14
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
Professional
Modifier
Low / Median / High Price
$2.25 / $2.90 / $3.10
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.02 / $10.78 / $10.78
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.05 / $20.76 / $2,194.11
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.32 / $2.02
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.70 / $3.10 / $4.20
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.50 / $2.50 / $2.50
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.10 / $1.10
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.53 / $1.61 / $2.04
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.53 / $2.04 / $2.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $1.07 / $1.79