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Maine rates for HCPCS A6209

Foam dressing, wound cover, sterile, pad size 16 sq in or less, without adhesive border, each dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.99 / $5.99 / $5.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.91 / $5.99 / $7.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.63 / $4.63 / $5.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.33 / $5.33 / $5.33
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.52 / $8.52 / $8.52
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.91 / $5.99 / $5.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $5.21 / $11.98