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New Hampshire rates for HCPCS A6262

Wound filler, dry form, per g, not otherwise specified

Facilitymedian $1 · 10th–90th $1$10%50%10th90th$1Professionalmedian $11 · 10th–90th $1$170%50%10th90th$11$0.5$1.0$2.0$5.0$10.0$20.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.04 / $2.04 / $2.04
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $3.80 / $3.80
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $10.96 / $18.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.32 / $0.81 / $10.96
Well Sense
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.32 / $1.35 / $1.45