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Wisconsin rates for HCPCS A6219

Gauze, nonimpregnated, sterile, pad size 16 sq in or less, with any size adhesive border, each dressing

Facilitymedian $1 · 10th–90th $1–$20%50%90th$1Professionalmedian $1 · 10th–90th $1–$20%20%10th90th$1$0.5$2.0$10.0$50.0$200.0$1.0K$5.0K

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.19 / $2.19 / $2.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.35 / $1.35 / $2.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.26 / $1.26 / $1.45
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.63 / $4.17 / $6.76
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.68 / $1.86 / $2.57
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.78 / $1.12 / $1.95
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.23 / $1.78 / $2.24
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.78 / $1.32 / $3.02
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.56 / $0.68 / $7.08
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $50.12 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.14 / $2.14 / $2.14
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.95 / $1.51 / $2.63
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.29 / $2.04 / $3.16
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.69 / $2.69 / $79.43
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.68 / $1.66 / $7.41
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.35 / $1.35 / $1.35
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.35 / $1.35 / $1.35
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.44 / $0.68 / $1.10