go back

North Dakota rates for HCPCS A6215

Foam dressing, wound filler, sterile, per g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.21 / $5.21 / $5.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.04 / $4.75 / $5.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.62 / $17.62 / $20.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.13 / $10.23 / $12.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.04 / $5.21 / $8.86