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Oregon rates for HCPCS A6215

Foam Dressing Wound Filler Per Gram

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.86 / $2.86 / $2.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.86 / $4.04 / $4.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $2.98 / $2.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $175.00 / $194.25
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.04 / $4.04 / $8.69
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.85 / $2.85 / $79,999.20
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.85 / $2.85 / $2.85
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.04 / $4.24 / $8.69
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $2,250,000.00 / $2,400,000.00