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Pennsylvania rates for HCPCS A6215

Foam dressing, wound filler, sterile, per g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.04 / $4.04 / $5.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.86 / $4.04 / $5.42
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$967.00 / $57,255.43 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.45 / $38.86 / $38.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $2.98 / $2.98
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.04 / $4.04 / $5.13
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.04 / $4.04 / $5.42
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $2.98 / $2.98
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.67 / $5.67 / $5.67
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.67 / $5.67 / $5.67