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Missouri rates for HCPCS A6217

Gauze, nonimpregnated, nonsterile, pad size more than 16 sq in but less than or equal to 48 sq in, without adhesive border, each dressing

Facilitymedian $0 · 10th–90th $0–$00%20%10th90th$0Professionalmedian $0 · 10th–90th $0–$00%20%40%10th90th$0$0.1$0.2$1.0$5.0$20.0$100.0

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
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.39 / $0.39 / $0.50
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.47 / $0.60 / $0.60
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.17 / $0.17 / $0.17
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.15 / $0.18 / $0.45
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.14 / $0.21 / $0.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.27 / $0.28 / $0.34
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.14 / $0.21 / $0.31