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Kentucky rates for HCPCS A6215

Foam dressing, wound filler, sterile, per g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $4.04 / $4.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.86 / $4.04 / $4.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.98 / $1.33
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $0.12 / $2.31
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $0.10 / $0.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $2.98 / $2.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.05 / $3,000.00