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Virginia 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
$1.33 / $1.33 / $1.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.04 / $1.33 / $1.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.92 / $0.92 / $1.40
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.19 / $1.19 / $1.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $1.29 / $2.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.10 / $1.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $2.50 / $3.42
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.33 / $1.81 / $3.18
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.43 / $3.00 / $5.01
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.53 / $1.88 / $3.35
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.53 / $1.88 / $3.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.97 / $1.07 / $1.78