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Arizona rates for HCPCS A6258

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

Facilitymedian $4 · 10th–90th $2–$110%5%10th90th$4Professionalmedian $3 · 10th–90th $2–$60%20%10th90th$3$1.0$2.0$5.0$10.0$20.0$50.0

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
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.02 / $5.89
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.82 / $2.82 / $4.27
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.78 / $3.16 / $10.23
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $7.41 / $12.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.09 / $3.09 / $3.09
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.63 / $5.37 / $12.30
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $2.51 / $30.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $3.63
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.51 / $3.80