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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
$0.74 / $0.96 / $1.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.75 / $0.75 / $0.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $0.85
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.36 / $1.36 / $1.36
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.89 / $0.96 / $0.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $0.83 / $1.93