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Pennsylvania rates for HCPCS A6262

Wound Filler Dry Form Per Gram Not Otherwise Specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.42 / $0.42 / $0.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.45 / $0.57
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$967.00 / $57,255.43 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.73 / $0.76 / $0.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.34 / $1.34 / $1.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.83 / $3.83 / $3.83
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.42 / $0.42 / $0.56
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.45 / $0.57
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.34 / $1.34 / $1.34
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.83 / $3.83 / $3.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.44 / $0.85