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Iowa 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
Professional
Modifier
Low / Median / High Price
$3.45 / $5.04 / $17.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.44 / $7.13 / $8.91
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.02 / $6.17 / $10.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.11 / $6.41 / $7.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $3.84 / $15.53
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.00 / $6.62 / $8.67
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.34 / $6.89 / $9.91
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.50 / $9.10 / $11.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.87 / $3.00 / $5.15
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.42 / $5.42 / $5.42
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.28 / $5.42 / $5.42