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Indiana rates for HCPCS A6215

Foam Dressing Wound Filler Per Gram

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.04 / $4.04 / $4.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.86 / $4.04 / $4.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.83 / $0.83 / $1.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $1.17
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.39
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.34 / $0.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $2.98 / $2.98