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Idaho 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 / $4.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $2.98 / $2.98
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.04 / $4.04 / $5.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,000.00 / $3,500.00 / $3,900.00