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Louisiana rates for HCPCS A6219

Gauze Non-Impregnated 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
$0.77 / $0.94 / $0.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.88 / $1.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.15 / $1.99 / $2.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.82 / $0.82
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.80 / $0.80 / $0.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.68 / $0.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.64 / $0.95