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New Hampshire rates for HCPCS A6212

Foam Dressing Wound Cover Pad Size 16 Sq. In. Or Less With Any Size Adhesive Border Each Dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.13 / $7.13 / $8.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.92 / $7.13 / $9.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.01 / $6.01 / $6.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.90 / $15.90 / $15.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.93 / $6.93 / $6.93
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.07 / $11.07 / $16.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.51 / $6.77 / $8.25
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.11 / $10.94 / $16.09