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Ohio 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
$3.82 / $3.82 / $8.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.81 / $3.82 / $4.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.67 / $3.46 / $7.94
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.42 / $5.08 / $8.13
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.42 / $4.42 / $7.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.07 / $3.07 / $3.07
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.33 / $1.51 / $7.06
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.07 / $3.07 / $3.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.10 / $3.87 / $4.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.94 / $3.84