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California rates for HCPCS A6220

Gauze Non-Impregnated Pad Size More Than 16 Sq. In. But Less Than Or Equal To 48 Sq. In. With Any Size Adhesive Border Each Dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.97 / $1.06 / $10.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.97 / $1.69 / $10.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.17 / $1.39 / $2.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.60 / $1.60 / $3.37
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.80 / $5.33 / $7.64
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.22 / $9.15 / $13.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $1.85 / $1.85
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.62 / $3.98 / $4.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $4.53 / $8.33
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.35 / $80.00 / $85.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.03 / $18.03 / $27.15
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.58 / $3.62 / $4.91
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $1.85 / $3.88
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.83 / $6.83 / $6.83
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $2.63 / $3.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $1.63 / $4.05