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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
$6.03 / $6.03 / $6.03
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
$4.68 / $4.68 / $5.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.37 / $5.37 / $5.75
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $9.12 / $9.33
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $7.08 / $20.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $5.25 / $9.12