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California rates for HCPCS A6258

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

Facilitymedian $3 · 10th–90th $2–$70%10%20%10th90th$3Professionalmedian $3 · 10th–90th $2–$230%10%20%10th90th$3$1.0$5.0$20.0$100.0$500.0

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
$1.00 / $1.00 / $26.30
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $3.98 / $16.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $2.51 / $6.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $2.69 / $7.94
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.31 / $8.51 / $12.59
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $11.22 / $22.39
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.09 / $3.09 / $3.09
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $6.76 / $8.32
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $6.17 / $18.62
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $79.43 / $85.11
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $44.67 / $44.67
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $8.91 / $8.91
Optum
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $70.79
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.55 / $6.17 / $8.51
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.09 / $3.09 / $5.89
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $11.22 / $11.22
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.02 / $3.24 / $6.17
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $2.69 / $6.17