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Minnesota rates for HCPCS A6221

Gauze Non-Impregnated 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 / $2.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $2.47 / $14.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.98 / $2.40 / $2.47
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 / $2.11 / $10.69