go back

Missouri 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 / $1.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.20 / $2.20 / $3.35
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 / $2.15 / $4.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.14 / $5.14 / $5.14