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Oklahoma 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
$3.58 / $3.58 / $4.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.21 / $3.55 / $3.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.27 / $5.27 / $5.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.27 / $5.27 / $5.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.07 / $3.07 / $3.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.53 / $3.95 / $9.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $3.44 / $29.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $2.80 / $3.66