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Washington 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
$1.22 / $2.77 / $2.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $1.22 / $2.89
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.88 / $80.00 / $80.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.78 / $1.88 / $15.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.10 / $1.10
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.69 / $2.90 / $4.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $2.90 / $4.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.81 / $1.81
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.70 / $2.09 / $2.35
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.88 / $2.14 / $2.14
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.78 / $1.88 / $3.47
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.78 / $2.09 / $2.40
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $1.82 / $2.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $1.09 / $1.73
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.92 / $0.92 / $1.82