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Indiana 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
$3.11 / $3.11 / $3.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $2.17 / $3.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.60 / $1.60 / $3.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.60 / $1.60 / $2.27
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.68 / $3.22 / $5.07
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.68 / $2.68 / $3.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $1.85 / $3.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.02 / $1.81 / $2.58