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Maryland rates for HCPCS A6241

Hydrocolloid Dressing Wound Filler Dry Form Per Gram

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $2.43 / $3.65
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.46 / $1.66 / $1.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $4.55 / $5.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.62 / $1.79 / $2.76
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.54 / $1.54 / $3.05