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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

Facilitymedian $1 · 10th–90th $0$20%20%10th90th$1Professionalmedian $1 · 10th–90th $1$60%20%10th90th$1$0.5$2.0$10.0$50.0$200.0$1.0K

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
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.75 / $5.75 / $5.75
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $5.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.44 / $0.55 / $1.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.59 / $0.59 / $1.58
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.38 / $1.86 / $2.82
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.55 / $2.45 / $5.01
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.68 / $0.68 / $0.68
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.35 / $1.51 / $1.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.35 / $4.07
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $79.43 / $85.11
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $10.00 / $10.00
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.32 / $1.32 / $1.32
Optum
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $70.79
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.79 / $1.35 / $1.91
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.68 / $0.68 / $1.29
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $2.51 / $2.51
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.32 / $0.66 / $3.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.51 / $0.60 / $1.35