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South Carolina 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
$1.07 / $1.07 / $1.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.57 / $1.07 / $1.17
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.33 / $1.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.39 / $2.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.72 / $0.72 / $1.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.68 / $0.68
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.92 / $1.33 / $2.48
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.06 / $0.06 / $1.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,000.00 / $3,000.00 / $3,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.44 / $0.64 / $0.80