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Alaska rates for HCPCS A6216

Gauze, nonimpregnated, nonsterile, pad size 16 sq in or less, without adhesive border, each dressing

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.03
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $0.08 / $0.11
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.16 / $0.26
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.08 / $0.08 / $3,467.37
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.08
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.07 / $0.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.03 / $60.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.21