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
$3.98 / $5.01 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.98 / $4.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.78 / $17.78 / $20.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $10.23 / $12.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.07 / $5.25 / $9.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.69 / $2.69 / $2.69