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Kansas 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
$4.51 / $4.51 / $6.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.21 / $3.61 / $6.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.10 / $6.10 / $6.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.07 / $3.07 / $3.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.34 / $5.20 / $8.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.00 / $29.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.00 / $7.68