go back

Arkansas 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
$3.84 / $4.84 / $10.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.65 / $4.80 / $4.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.20 / $6.49 / $6.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $3.07 / $3.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.80 / $4.30