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Iowa rates for HCPCS A6216

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.04 / $0.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.06 / $0.07 / $0.47
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.08 / $0.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $0.07 / $0.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.04 / $0.18
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.06 / $0.07 / $0.12
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.06 / $0.07 / $0.11
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$390.04 / $390.04 / $390.04
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.05
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.05 / $0.05 / $0.05
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.05 / $0.05