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New Hampshire rates for HCPCS A6215

Foam dressing, wound filler, sterile, per g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.75 / $4.75 / $5.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.86 / $4.75 / $5.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $2.98 / $2.98
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.72 / $2.72 / $4.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.72 / $2.72 / $2.72