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New Hampshire rates for HCPCS A6261

Wound Filler Gel/Paste Per Fluid Ounce Not Otherwise Specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.99 / $1.99 / $2.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $1.99 / $2.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.09 / $1.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.87 / $3.87 / $3.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.00 / $34.00 / $34.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.89 / $26.89 / $40.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1.81 / $3.86