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Maine rates for HCPCS A6257

Transparent film, sterile, 16 sq in or less, each dressing

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $4.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.91 / $0.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.10 / $1.17
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $1.91
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $4.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $1.07 / $1.86