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Indiana 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
$1.13 / $1.13 / $1.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.44 / $0.79 / $1.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.59 / $0.59 / $1.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.59 / $0.59 / $0.83
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.89 / $1.07 / $1.86
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.89 / $0.89 / $1.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.68 / $1.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.67 / $0.95