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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.84 / $3.84 / $3.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.09 / $3.84 / $5.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $6.21 / $9.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.82 / $5.72 / $6.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.75 / $18.62 / $43.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.20 / $7.91 / $9.05
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.52 / $17.07 / $40.72
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.13 / $7.13 / $7.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.30 / $6.02 / $10.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.13 / $2.85 / $10.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $2.54 / $7.53