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Colorado 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
$2.00 / $4.47 / $4.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.02 / $5.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.57 / $4.57 / $4.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.69 / $2.69 / $6.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.09 / $3.09 / $3.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $8.91 / $9.77
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $6.17 / $6.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.51 / $3.80