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New York rates for HCPCS A6224

Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 48 sq in, without adhesive border, each dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.19 / $3.09 / $5.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $3.09 / $4.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $2.24 / $8.09
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.91 / $4.20 / $4.20
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.20 / $4.20 / $4.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.89 / $5.89 / $5.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.58 / $2.58 / $2.58
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.03 / $9.19 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.03 / $6.79 / $10.92
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.81 / $1.81 / $2.92
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $2.92 / $3.10
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.89 / $5.89 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.58 / $2.58 / $8.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.68 / $2.92 / $5.66
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.92 / $2.92 / $3.61
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $2.92 / $3.10