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Pennsylvania 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 / $2.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.69 / $2.80
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$967.00 / $57,255.43 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.77 / $7.02 / $7.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.89 / $1.89 / $1.89
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.69 / $1.69 / $2.15
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.69 / $2.80
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.89 / $1.89 / $1.89
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.06 / $2.06 / $2.06
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $2.06 / $2.06