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Minnesota 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
$0.36 / $0.46 / $0.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.89 / $1.02 / $5.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.89 / $0.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.20 / $2.06 / $4.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.88 / $0.95
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.17 / $1.90 / $4.53
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.75 / $0.75 / $0.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.54 / $1.17 / $1.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.43 / $1.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.43 / $0.88