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Maine rates for HCPCS A6196

Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq in or less, each dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.90 / $5.90 / $1,202.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.49 / $5.90 / $7.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.55 / $4.55 / $4.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $5.25 / $5.25
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.38 / $8.38 / $8.38
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.90 / $5.90 / $1,202.69
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.40 / $5.90 / $5.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.64 / $5.13 / $11.79