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Arizona rates for HCPCS A6261

Wound filler, gel/paste, per fl oz, not otherwise specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $1.51 / $1.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.51 / $2.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.82 / $23.21 / $57.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.61 / $32.75 / $77.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.00 / $34.00 / $34.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $3.07 / $5.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.55 / $1.73 / $22.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $1.73 / $3.05