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Virginia 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 / $0.05
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.03
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
$0.04 / $0.06 / $0.08
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $5.01 / $5.01
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.05 / $0.10
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.04
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.05 / $0.06 / $100.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.06 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.05