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Massachusetts rates for HCPCS A6217

Gauze Non-Impregnated Non-Sterile Pad Size More Than 16 Sq. In. But Less Than Or Equal To 48 Sq. In. Without Adhesive Border Each Dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.15
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.19 / $0.59 / $100.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.23 / $0.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.41 / $0.41 / $1.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.17 / $0.17 / $5.42
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.18 / $0.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $0.07 / $0.07
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.00 / $100.00 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.28 / $0.63
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.18 / $0.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.17 / $0.30 / $0.56