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Ohio 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 / $2.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.69 / $2.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.20 / $2.95 / $4.67
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.77 / $0.91 / $1.04
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.74 / $0.74 / $0.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.89 / $1.89 / $1.89
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.41 / $0.41 / $0.44
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.89 / $1.89 / $1.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.57 / $0.57 / $0.57