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Idaho 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
$2.62 / $4.41 / $8.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.07 / $3.07 / $3.07
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.41 / $5.16 / $8.58
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.72 / $5.72 / $6.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $10.54 / $11.74
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.21 / $4.21 / $6.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.36 / $2.54 / $4.30