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North Dakota rates for HCPCS A6258

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

Facilitymedian $4 · 10th–90th $3$90%20%40%10th90th$4Professionalmedian $4 · 10th–90th $2$70%20%10th90th$4$1.0$2.0$5.0$10.0$20.0

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 / $3.98 / $3.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.66 / $3.02 / $5.01
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $6.61 / $7.41
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $10.47 / $12.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.24 / $9.12
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $6.03 / $10.96
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.14 / $2.51 / $7.08
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.51 / $6.92