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Minnesota rates for HCPCS A6258

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

Facilitymedian $13 · 10th–90th $5–$450%5%10%10th90th$13Professionalmedian $6 · 10th–90th $3–$60%50%10th90th$6$1.0$2.0$5.0$10.0$20.0$50.0

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
$3.02 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.02 / $5.01
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.25 / $6.61 / $10.47
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $6.03 / $6.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $19.50 / $53.70
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.76 / $9.12
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $20.89 / $44.67
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $7.59
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.07 / $6.03 / $10.96
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.70 / $2.51 / $6.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.70 / $2.88 / $7.94