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Idaho 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
Professional
Modifier
Low / Median / High Price
$1.57 / $2.66 / $4.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $1.85 / $1.85
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.99 / $3.11 / $5.16
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.44 / $3.44 / $3.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.61 / $6.34 / $7.06
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $2.52 / $3.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.42 / $1.54 / $2.58