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New York rates for HCPCS A6216

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

Insurance Carrier
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.08 / $0.08 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.05
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.05 / $0.08 / $0.19
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.07 / $0.10
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.04
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.04
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.05 / $0.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.06
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.05
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.04