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Maine rates for HCPCS A6257

Transparent Film 16 Sq. In. Or Less Each Dressing

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $1.24 / $1.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.92 / $0.92 / $0.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.10 / $1.10
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.76 / $1.76 / $1.76
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.24 / $1.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.84 / $1.07 / $2.47