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Washington, DC 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
Facility
Modifier
Low / Median / High Price
$1.17 / $1.17 / $1.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.02 / $1.17 / $1.17
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.48 / $2.48 / $2.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.22 / $1.22 / $1.22
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.46 / $3.17 / $3.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.70 / $1.06 / $1.43