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Mississippi 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
$5.01 / $5.01 / $5.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.71 / $5.01 / $5.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.90 / $4.90 / $5.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.67 / $4.67 / $4.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.07 / $3.07 / $3.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $2.86 / $5.08