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New Hampshire rates for HCPCS A6257

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.12 / $1.12 / $1.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $1.12 / $1.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.92 / $0.92 / $0.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.50 / $2.50 / $2.50
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 / $2.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $1.22 / $1.76
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $1.74 / $2.56