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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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.79 / $5.79 / $5.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.07 / $3.07 / $3.07
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.73 / $5.79 / $8.11
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.72 / $5.78 / $18.05
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.94 / $5.94 / $3,495.87
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.36 / $5.94 / $5.94
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.79 / $5.79 / $8.11
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.26 / $5.05 / $7.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.94 / $3.56 / $15.18