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Alaska rates for HCPCS A6258

Transparent film, sterile, more than 16 sq in but less than or equal to 48 sq in, each dressing

Facilitymedian $6 · 10th–90th $3–$80%20%40%10th90th$6Professionalmedian $3 · 10th–90th $1–$80%20%10th90th$3$1.0$5.0$20.0$100.0$500.0$2.0K

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
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $3.02 / $7.94
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.09 / $3.09 / $3.09
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.47 / $5.89 / $7.59
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $5.89 / $18.62
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.89 / $5.89 / $3,467.37
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $5.89 / $5.89
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.39 / $5.89 / $8.13
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.09 / $5.89 / $60.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $3.16 / $7.59