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Sterile Gauze Pad with Border, over 48 Sq In

Maine rates for HCPCS A6221

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

Rates data updated July 2026.

Professionalmedian $3 · 10th–90th $2$30%20%40%10th90th$3$2.0$5.0$10.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.70
Median
$2.09
Typical High
$10.72
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.19
Median
$2.19
Typical High
$2.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.91
Median
$1.91
Typical High
$1.91
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$3.09
Median
$3.09
Typical High
$3.16
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$1.70
Median
$2.09
Typical High
$2.82
United
Setting
Professional
Modifier
Global
Typical Low
$3.09
Median
$3.09
Typical High
$3.09