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Oregon rates for HCPCS A6222

Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq in or less, without adhesive border, each dressing

Facilitymedian $3 · 10th–90th $2–$30%50%10th90th$3Professionalmedian $2 · 10th–90th $1–$30%20%10th90th$2$1.0$5.0$20.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.63
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.51 / $1.51 / $1.51
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $5.75 / $151.36
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.91 / $2.34 / $3.39
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.34 / $3.24
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.34 / $2.88 / $2.95
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.69 / $2.95 / $2.95
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.70 / $2.75 / $4.07
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.51 / $2.82 / $79.43
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $3.31 / $3.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.83 / $1.26 / $2.09