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Arizona rates for HCPCS A6258

Transparent Film 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
$3.61 / $3.61 / $3.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.84 / $3.61 / $5.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.59 / $3.76 / $9.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.30 / $5.30 / $12.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.07 / $3.07 / $3.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.61 / $6.02 / $10.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.54 / $29.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.54 / $3.84