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Washington 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

Facilitymedian $6 · 10th–90th $4–$100%10%10th90th$6Professionalmedian $3 · 10th–90th $2–$70%20%10th90th$3$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
$2.00 / $2.00 / $6.76
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.02 / $3.98
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $4.37 / $5.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $2.57 / $2.57
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $7.59 / $11.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $7.59 / $11.22
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $4.27 / $64.57
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $4.90 / $5.01
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $5.01 / $6.31
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.17 / $7.94 / $9.55
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $4.17 / $4.90
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $4.37 / $5.62
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.66 / $1.66 / $3.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $2.14 / $4.07
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $4.37 / $7.76