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Rhode Island 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
$10.44 / $10.44 / $10.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.49 / $2.63 / $4.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.52 / $12.06 / $13.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.69 / $3.16 / $5.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.07 / $3.07 / $3.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $3.00 / $5.00