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New Hampshire rates for HCPCS A6245

Hydrogel dressing, wound cover, sterile, pad size 16 sq in or less, with any size adhesive border, each dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.37 / $5.37 / $6.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $6.03 / $10.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $4.37 / $4.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $5.25 / $5.75
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $14.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $5.75 / $8.91
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.76 / $6.76 / $10.96