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Indiana 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 / $2.06
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.20 / $2.20 / $4.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.20 / $2.20 / $3.12
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.07 / $1.07 / $1.38
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.28 / $1.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.89 / $1.89 / $2.90