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Washington, DC 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
$4.07 / $4.07 / $4.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.90 / $4.07 / $4.07
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $3.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.07 / $3.07 / $3.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.72 / $11.95 / $11.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.00 / $5.28