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Connecticut 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
$3.88 / $3.88 / $3.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.62 / $3.88 / $4.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.67 / $2.67 / $2.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.07 / $3.07 / $3.07
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $9.02 / $13.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $3.00 / $4.58