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North Carolina 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 / $2.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.37 / $11.18 / $11.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.89 / $1.89 / $1.89
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.69 / $1.79 / $2.87
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.14 / $5.14 / $5.14