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Massachusetts 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
$0.57 / $0.57 / $1.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.47 / $0.65 / $0.86
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.27 / $1.98 / $80.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $1.30 / $7.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.91 / $0.91 / $2.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.88 / $0.88 / $0.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.68 / $0.80
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.90 / $0.90 / $0.90
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.09 / $1.09
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.63 / $16.63 / $16.63
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.70 / $80.00 / $80.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.76 / $7.35
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $0.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.76 / $1.50