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New Hampshire rates for HCPCS A6242

Hydrogel dressing, wound cover, sterile, pad size 16 sq in or less, without adhesive border, each dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.45 / $4.45 / $5.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.70 / $4.45 / $5.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.76 / $3.76 / $3.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.91 / $9.91 / $9.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.32 / $4.32 / $4.32
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.91 / $6.91 / $10.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $4.22 / $6.91
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.70 / $6.27 / $7.98