go back

Florida 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
$2.71 / $3.40 / $5.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.71 / $3.88 / $4.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.61 / $3.61 / $3.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.07 / $3.07 / $3.07
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.30 / $6.77 / $23.29
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.36 / $3.61 / $5.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.52 / $3.87 / $8.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.44 / $2.95 / $3.50
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.52 / $3.52 / $3.52