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California rates for HCPCS A6219

Gauze, nonimpregnated, sterile, pad size 16 sq in or less, with any size adhesive border, each dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.36 / $0.39 / $3.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.56 / $3.85
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $2.25 / $2.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.43 / $0.51 / $0.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.59 / $0.59 / $1.24
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.39 / $1.96 / $2.80
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.55 / $3.37 / $5.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.68 / $0.68
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.46 / $1.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.66 / $3.06
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.70 / $80.00 / $85.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.07 / $7.35 / $9.98
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.95 / $1.33 / $1.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.68 / $1.42
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.50 / $2.50 / $2.50
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.25 / $0.42 / $1.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.52 / $0.60 / $1.87