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Wisconsin 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
$3.50 / $3.89 / $9.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.63 / $3.50 / $5.16
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.02 / $6.02 / $9.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.60 / $6.02 / $6.86
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.02 / $12.88 / $12.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $18.95 / $25.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.07 / $8.91 / $11.40
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.38 / $4.90 / $6.02
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.44 / $3.44 / $6.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.41 / $4.96 / $6.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.80 / $3.40 / $7.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.81 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.38 / $4.96 / $6.02
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.44 / $3.44 / $6.02
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.02 / $9.02 / $15.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.76 / $12.22 / $80.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.07 / $26.46 / $29.98
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.02 / $6.02 / $6.02
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.02 / $6.02 / $6.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.13 / $3.00 / $5.58