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Rhode Island rates for HCPCS A6262

Wound Filler Dry Form Per Gram Not Otherwise Specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.40 / $0.40 / $0.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.46 / $0.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.92 / $1.80 / $2.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $0.92 / $1.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.83 / $3.83 / $3.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.47 / $0.76