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Washington rates for HCPCS A6258

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

Facilitymedian $6 · 10th–90th $5–$120%20%10th90th$6Professionalmedian $4 · 10th–90th $2–$80%20%10th90th$4$1.0$2.0$5.0$10.0$20.0$50.0

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $8.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.02 / $5.01
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $5.25 / $6.76
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.09 / $3.09 / $3.09
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.62 / $8.51 / $13.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $8.51 / $13.18
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $5.13 / $64.57
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $5.89 / $6.03
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $6.03 / $6.03
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $9.33 / $11.48
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $5.89
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.25 / $6.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.95 / $1.95 / $4.79
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $2.51 / $4.90
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $5.25 / $9.12