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Maine rates for HCPCS A6254

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $3.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.76 / $0.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $0.93
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $1.45 / $1.48
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $3.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.83 / $1.45