go back

Maryland rates for HCPCS A6215

Foam Dressing Wound Filler Per Gram

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.28 / $48.28 / $48.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.04 / $4.04 / $6.06
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.00 / $8.00 / $8.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $2.98 / $2.98
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $14.67