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Oregon 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
Professional
Modifier
Low / Median / High Price
$0.02 / $0.04 / $0.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.64 / $0.79 / $0.93
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $0.05 / $0.74
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.05 / $0.06
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.05 / $0.05 / $0.07
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.05 / $0.06
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $0.05 / $0.74
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.05 / $0.06
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.06 / $0.06 / $0.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.04