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Maine rates for HCPCS A6241

Hydrocolloid Dressing Wound Filler Dry Form Per Gram

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $2.06 / $2.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.54 / $1.54 / $1.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.46 / $1.66 / $1.66
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.93 / $2.93 / $2.93
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.89 / $2.06 / $2.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $1.79 / $4.97