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Arizona rates for HCPCS A6215

Foam dressing, wound filler, sterile, per g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.86 / $2.86 / $2.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.86 / $4.04 / $4.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.72 / $1.70 / $4.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $2.40 / $5.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $2.98 / $2.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.86 / $3.15 / $6.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.00 / $11.23