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Maryland rates for HCPCS A6262

Wound Filler Dry Form Per Gram Not Otherwise Specified

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.53 / $0.71
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.99 / $0.99 / $0.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.83 / $3.83 / $3.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.70 / $0.92 / $1.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.52 / $0.87
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.28 / $2,500.00 / $2,500.00