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Transparent Film Dressing, 16 Sq In or Less

Utah rates for HCPCS A6257

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

Rates data updated July 2026.

Facilitymedian $3 · 10th–90th $1$4900%20%40%10th90th$3Professionalmedian $1 · 10th–90th $1$30%10%10th90th$1$0.5$2.0$10.0$50.0$200.0

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
Setting
Facility
Modifier
Global
Typical Low
$0.59
Median
$3.31
Typical High
$489.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.59
Median
$1.38
Typical High
$2.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.10
Median
$1.10
Typical High
$1.10
Molina
Setting
Professional
Modifier
Global
Typical Low
$1.55
Median
$1.91
Typical High
$2.45
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1.20
Median
$1.51
Typical High
$1.86
Select Health
Setting
Facility
Modifier
Global
Typical Low
$2.19
Median
$2.19
Typical High
$2.19
Select Health
Setting
Professional
Modifier
Global
Typical Low
$1.95
Median
$2.19
Typical High
$2.24
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1.82
Median
$2.19
Typical High
$2.63
United
Setting
Professional
Modifier
Global
Typical Low
$0.71
Median
$0.91
Typical High
$1.29