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South Carolina 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
$2.90 / $2.90 / $2.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $2.90 / $3.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.62 / $3.78 / $6.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.56 / $1.56 / $4.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $1.85 / $1.85
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.52 / $3.19 / $6.35
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,000.00 / $3,000.00 / $3,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1.72 / $2.17