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New Jersey 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
$2.94 / $2.94 / $2.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.77 / $2.94 / $4.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.07 / $3.07 / $3.07
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.32 / $7.89 / $10.54
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $3.00 / $4.01