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Wisconsin 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–$100%20%40%10th90th$6Professionalmedian $4 · 10th–90th $3–$90%20%10th90th$4$1.0$5.0$20.0$100.0$500.0$2.0K

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 / $3.89 / $7.94
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.02 / $5.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.17 / $6.17 / $10.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $5.75 / $6.46
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $19.05 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.09 / $8.91 / $11.75
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.47 / $5.01 / $8.71
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $8.51 / $10.72
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.47 / $6.03 / $13.49
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $3.02 / $30.20
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.82 / $33.11 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.77 / $9.77 / $9.77
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $6.92 / $12.02
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $9.12 / $15.85
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $12.30 / $79.43
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.09 / $7.59 / $30.20
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $6.17 / $6.17
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $6.17 / $6.17
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.02 / $4.90