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Minnesota 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
$0.85 / $0.85 / $0.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.85 / $1.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $1.42 / $2.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.06 / $1.26 / $1.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.39 / $4.13 / $9.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.52 / $1.74 / $1.91
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.34 / $3.79 / $9.05
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.50 / $1.50 / $1.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.95 / $1.33 / $1.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.47 / $0.63 / $2.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.44 / $0.63 / $1.71