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Washington 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
$0.75 / $1.70 / $1.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.75 / $1.78
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.30 / $75.00 / $80.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.11 / $1.17 / $9.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.68 / $0.68
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.27 / $2.10 / $3.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.27 / $2.10 / $3.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $1.12 / $1.12
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.05 / $1.30 / $1.46
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.05 / $1.33 / $1.33
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.11 / $1.17 / $2.16
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.11 / $1.30 / $1.49
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.12 / $1.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.54 / $0.68 / $1.08
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.59 / $0.59 / $1.12