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Rhode Island rates for HCPCS A6258

Transparent film, sterile, more than 16 sq in but less than or equal to 48 sq in, each dressing

Facilitymedian $4 · 10th–90th $4–$140%50%90th$4Professionalmedian $3 · 10th–90th $2–$40%20%10th90th$3$2.0$5.0$10.0$20.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.27 / $4.27 / $4.27
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.02 / $3.98
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $12.02 / $14.13
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.34 / $3.16 / $5.75
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.09 / $3.09 / $3.09
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $3.47 / $5.01