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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

Facilitymedian $5 · 10th–90th $3–$1000%50%10th90th$5Professionalmedian $3 · 10th–90th $2–$50%20%40%10th90th$3$0.1$0.5$2.0$10.0$50.0

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 / $5.13 / $100.00
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 / $3.47 / $7.59
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.47 / $6.03 / $7.76
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $4.47 / $8.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.09 / $3.09 / $3.09
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.34 / $0.34 / $0.41
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.09 / $3.09 / $3.09
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.09 / $3.72 / $5.13
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $6.76 / $12.59
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $3.63
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.70 / $2.82 / $3.80