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Georgia 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
$3.81 / $3.81 / $3.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.71 / $3.95 / $5.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.16 / $5.41 / $12.96
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.25 / $8.43 / $9.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.61 / $3.61 / $7.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.07 / $3.07 / $6.77
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.02 / $6.02 / $8.09
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $7.44 / $11.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.00 / $8.21