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New York rates for HCPCS A6258

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

Facilitymedian $3 · 10th–90th $1$100%10%10th90th$3Professionalmedian $3 · 10th–90th $2$90%20%40%10th90th$3$0.1$1.0$10.0$100.0$1.0K$10.0K

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
$2.00 / $4.79 / $6.92
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.02 / $5.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.69 / $2.69 / $8.51
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.68 / $5.01 / $5.01
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $5.01
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.77 / $9.77 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.09 / $3.09 / $6.31
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.17 / $10.23 / $23.44
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $8.71 / $12.30
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.17 / $1.17 / $1.23
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.17 / $3.47 / $3.72
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.51 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $5.89 / $5.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $16.98 / $22.91
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $5.37 / $11.22
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.17 / $3.47 / $3.47
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.17 / $3.47 / $3.72