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Pennsylvania 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
$2.95 / $2.95 / $11,905.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.62 / $3.69 / $4.80
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$967.00 / $57,255.43 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.02 / $6.02 / $6.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.06 / $7.06 / $7.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.07 / $3.07 / $3.07
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.32 / $8.15 / $8.73
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.88 / $22.96 / $34.79
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.95 / $3.69 / $11,905.96
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.81 / $3.69 / $5.69
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.50 / $8.60 / $11.90
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.06 / $7.06 / $7.06
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.07 / $3.07 / $3.07
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.30 / $4.51 / $5.73
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.30 / $5.73 / $5.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $3.00 / $5.42