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New Hampshire 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
$0.70 / $0.70 / $0.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.57 / $0.70 / $0.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.59 / $0.59 / $0.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.56 / $1.56 / $1.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.68 / $0.68
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.09 / $1.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.44 / $0.67 / $0.81
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.90 / $1.08 / $1.68