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Massachusetts rates for HCPCS A6258

Transparent film, sterile, more than 16 sq in but less than or equal to 48 sq in, each dressing

Facilitymedian $7 · 10th–90th $2–$120%20%10th90th$7Professionalmedian $4 · 10th–90th $2–$60%20%10th90th$4$1.0$10.0$100.0$1.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.02 / $5.01
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.75 / $5.89 / $79.43
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.69 / $5.25 / $10.23
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.46 / $7.76 / $10.47
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.09 / $3.09 / $3.63
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $93.33 / $8,511.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $5.25 / $5.25
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.75 / $5.89 / $79.43
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.69 / $5.25 / $10.23
Tufts
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $3.80 / $3.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.47 / $3.47 / $6.17
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $4.27 / $5.25