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Pennsylvania 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
$0.66 / $2.34 / $2.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.82 / $1.04
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$967.00 / $57,255.43 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.33 / $1.33
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
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $1.80 / $1.93
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.66 / $2.34 / $2.34
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.40 / $0.82 / $1.11
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.04 / $425.04 / $1,042.19
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.60 / $1.90 / $2.60
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.56 / $1.56 / $1.56
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.68 / $0.68
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.27
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.27 / $1.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.52 / $0.67 / $1.11