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Missouri 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 $1–$30%20%10th90th$1Professionalmedian $1 · 10th–90th $1–$20%20%10th90th$1$0.1$0.5$2.0$10.0$50.0

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
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $5.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.59 / $0.65 / $1.26
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.81 / $0.81 / $1.35
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.68 / $0.68 / $0.68
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.74 / $1.32 / $3.31
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.47 / $0.68 / $7.08
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.72 / $0.85 / $1.35
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.44 / $0.63 / $1.00