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Kentucky 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
$1.99 / $3.09 / $3.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.99 / $3.55 / $5.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.67 / $2.67 / $3.01
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.26 / $5.96 / $8.49
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.26 / $4.69 / $6.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.06 / $7.06 / $7.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.07 / $3.07 / $8.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.51 / $4.26 / $7.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.00 / $3.84