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New Hampshire rates for HCPCS A6241

Hydrocolloid dressing, wound filler, dry form, sterile, per g

Facilitymedian $2 · 10th–90th $2$20%20%40%10th90th$2Professionalmedian $2 · 10th–90th $1$30%20%10th90th$2$1.0$2.0$5.0$10.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.91 / $1.91 / $2.29
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $3.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.55 / $1.55 / $1.55
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.48 / $1.66 / $1.66
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.16 / $3.16 / $5.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.51 / $2.95 / $3.16
Well Sense
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.14 / $2.24 / $4.27