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Rhode Island 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
$2.80 / $2.80 / $2.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $2.06 / $2.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.00 / $9.77 / $11.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.25 / $5.00 / $8.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.89 / $1.89 / $1.89