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Massachusetts rates for HCPCS A6262

Wound Filler Dry Form Per Gram Not Otherwise Specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.46 / $0.46 / $0.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.46 / $0.64
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.02 / $2.60 / $90.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $1.00 / $7.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $3.83 / $3.83
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.97 / $0.97 / $0.97
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.90 / $10.90 / $10.90
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $90.00 / $90.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.40 / $0.78 / $7.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.34 / $0.52 / $1.28