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Arizona rates for HCPCS A6221

Gauze, nonimpregnated, sterile, pad size more than 48 sq in, with any size adhesive border, each dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.69 / $1.69 / $1.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.69 / $2.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.54 / $4.36 / $10.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.89 / $1.89 / $1.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.69 / $1.86 / $3.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $2.06 / $5.14