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Virginia 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 / $2.96 / $2.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.69 / $2.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.20 / $2.20 / $2.94
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.00 / $3.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.22 / $2.22 / $2.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.89 / $1.89 / $1.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $7.00 / $8.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.69 / $2.96 / $4.51
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $3.12 / $9,929.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $3.12 / $9,929.00