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Oklahoma 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
$2.16 / $2.16 / $133.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.93 / $2.14 / $2.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.17 / $3.17 / $3.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.17 / $3.17 / $3.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $1.85 / $1.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.12 / $2.38 / $5.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.17 / $2.06 / $18.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.02 / $1.63 / $2.19