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Maine rates for HCPCS A6220

Gauze Non-Impregnated Pad Size More Than 16 Sq. In. But Less Than Or Equal To 48 Sq. In. With Any Size Adhesive Border Each Dressing

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $2.08 / $2.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.60 / $1.60 / $1.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $1.85 / $1.85
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $2.95 / $2.95
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.90 / $2.08 / $2.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1.81 / $4.15