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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

Facilitymedian $0 · 10th–90th $0–$20%50%10th90th$0Professionalmedian $1 · 10th–90th $1–$10%20%40%10th90th$1$0.5$1.0$2.0$5.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.59 / $0.59 / $0.59
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.68 / $0.68 / $0.76
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.15 / $1.15 / $1.91
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.56 / $1.10 / $1.15
Well Sense
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.32 / $0.33 / $1.58