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Wisconsin rates for HCPCS A6216

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

Facilitymedian $0 · 10th–90th $0–$00%50%90th$0Professionalmedian $0 · 10th–90th $0–$10%50%10th90th$0$0.0$0.2$2.0$20.0$200.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.05 / $0.05 / $0.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.05 / $0.05 / $0.05
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.06 / $0.08 / $0.08
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.10 / $0.10 / $0.10
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.89 / $1.05 / $1.70
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.03 / $0.10 / $0.47
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.03 / $0.05 / $0.08
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.05 / $0.08 / $0.09
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.03 / $0.05 / $0.52
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.02 / $0.03 / $3.55
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $50.12 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.10 / $0.10 / $0.10
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.04 / $0.06 / $0.10
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.05 / $0.52 / $1.05
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.10 / $0.10 / $79.43
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.03 / $0.08 / $3.72
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.05 / $0.05 / $0.05
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.05 / $0.05 / $0.05
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.02 / $0.03 / $0.05