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Missouri rates for HCPCS A6262

Wound Filler Dry Form Per Gram Not Otherwise Specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.56 / $0.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.39 / $0.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.53 / $0.75 / $1.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.83 / $3.83 / $3.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.36 / $0.69 / $1.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.42 / $7.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.41 / $0.73