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Alabama 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
Facility
Modifier
Low / Median / High Price
$4.37 / $4.37 / $4.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.11 / $4.37 / $5.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.88 / $3.88 / $3.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.61 / $3.61 / $3.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.07 / $3.07 / $3.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $2.54 / $3.75