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Oregon 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
$241.34 / $241.34 / $241.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.06 / $2.62 / $10.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $1.85 / $1.85
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $7.10 / $8.33
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.66 / $3.33 / $5.95
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.72 / $3.44 / $3.80
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.88 / $3.54 / $4.16
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.88 / $3.62 / $3.98
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.66 / $3.45 / $5.95
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $3.17 / $3.88
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.78 / $3.98 / $3.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.38 / $1.54 / $2.93