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Wisconsin 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
Facility
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.08
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
$0.05 / $0.05 / $0.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.05 / $0.05
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.05 / $0.08 / $0.11
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.07 / $0.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $1.05 / $1.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.09 / $0.47
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.05 / $0.05
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.05 / $0.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.05 / $0.05
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.05
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.08 / $1.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $0.52 / $80.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.25 / $3.54
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.05 / $0.05
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.05 / $0.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.05