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New Hampshire rates for HCPCS A6215

Foam dressing, wound filler, sterile, per g

Facilitymedian $5 · 10th–90th $5–$60%50%90th$5Professionalmedian $3 · 10th–90th $1–$50%20%10th90th$3$1.0$2.0$5.0$10.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $4.79 / $5.75
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.95 / $3.98 / $5.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.83 / $0.83 / $0.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.95 / $2.95 / $2.95
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.69 / $2.69 / $4.57
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.69 / $2.69 / $2.69