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Louisiana 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
$4.04 / $4.04 / $4.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.50 / $3.50 / $3.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $2.98 / $2.98