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New Hampshire rates for HCPCS A6254

Specialty Absorptive Dressing Wound Cover 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
$0.89 / $0.89 / $1.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.74 / $0.89 / $1.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.75 / $0.75 / $0.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.96 / $1.96 / $1.96
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 / $2.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $0.83 / $1.43
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.95 / $6.55 / $8.33