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Washington 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–$60%10%20%10th90th$3Professionalmedian $2 · 10th–90th $1–$50%20%10th90th$2$1.0$2.0$5.0$10.0$20.0$50.0

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
$1.00 / $1.00 / $3.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $3.98
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $2.57 / $3.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.51 / $1.51 / $1.51
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $4.47 / $6.61
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $4.47 / $6.31
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.04 / $2.51 / $64.57
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
$2.57 / $2.95 / $2.95
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.45 / $4.68 / $5.62
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.45 / $2.45 / $2.88
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.45 / $2.57 / $3.31
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.98 / $0.98 / $2.40
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.12 / $1.26 / $2.40
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $2.57 / $4.57