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California rates for HCPCS A6228

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.78 / $2.24 / $5.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $2.34 / $2.82
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.75 / $4.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $138.04 / $630.96
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $89.13 / $89.13
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $11.22 / $12.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.89 / $1.82 / $2.88
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.23
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.06 / $0.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.58 / $0.85 / $1.70