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Wisconsin 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 $1$50%20%40%10th90th$3Professionalmedian $2 · 10th–90th $1$50%20%10th90th$2$0.5$2.0$10.0$50.0$200.0$1.0K$5.0K

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
$0.72 / $1.82 / $2.57
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $3.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $5.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.82 / $2.82 / $3.24
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.55 / $4.47 / $4.79
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $6.92 / $6.92
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $9.55 / $15.14
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.51 / $4.27 / $5.75
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.70 / $2.51 / $4.37
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.69 / $5.25 / $6.46
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.70 / $2.95 / $6.76
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.26 / $1.48 / $14.79
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $50.12 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $4.79 / $4.79
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.14 / $3.47 / $6.03
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $4.57 / $8.51
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.03 / $6.03 / $79.43
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.51 / $3.72 / $14.79
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $3.02
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $3.02
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.48 / $2.45