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Maine rates for HCPCS A6262

Wound Filler Dry Form Per Gram Not Otherwise Specified

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.50 / $0.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.09 / $1.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.83 / $3.83 / $3.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.90 / $10.90 / $10.90
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.50 / $0.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.40 / $0.96