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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
$5.89 / $5.89 / $1,202.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $6.03 / $8.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.57 / $4.57 / $5.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $5.25 / $5.62
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $9.12
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.89 / $5.89 / $1,202.26
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $7.08 / $20.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $5.13 / $8.91