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Indiana rates for HCPCS A6216

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.05 / $0.05 / $0.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.04
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.05 / $0.07 / $0.08
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.06 / $0.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.05