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Oregon 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
Professional
Modifier
Low / Median / High Price
$1.77 / $4.37 / $17.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.07 / $3.07 / $3.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.51 / $11.82 / $13.89
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.41 / $5.52 / $10.19
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.53 / $5.72 / $6.32
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.78 / $5.88 / $6.92
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $6.02 / $6.02
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.41 / $5.73 / $10.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.07 / $5.27 / $6.44
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.29 / $6.62 / $6.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.41 / $2.54 / $4.87