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New Hampshire 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
$5.40 / $5.40 / $6.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.49 / $5.40 / $6.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.55 / $4.55 / $4.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.05 / $12.05 / $12.05
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 / $12.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.42 / $5.13 / $8.19
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.91 / $8.07 / $12.19