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North Dakota 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
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $0.44 / $0.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.59 / $0.59 / $0.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.19 / $0.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.13 / $0.18 / $0.36