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California rates for HCPCS A6216

Gauze Non-Impregnated Non-Sterile Pad Size 16 Sq. In. Or Less Without Adhesive Border Each Dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.17
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.00 / $5.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.05
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.07 / $0.10 / $0.14
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $0.13 / $0.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.03
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.06 / $0.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.07 / $0.13
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.52 / $80.00 / $85.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.54 / $3.68 / $565.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.05 / $0.05 / $0.08
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.06
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.11
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.05 / $0.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.08