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Iowa 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
$0.93 / $1.09 / $1.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.50 / $1.94 / $3.07
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.90 / $4.65 / $150.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.09 / $2.02 / $3.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $1.12 / $5.49
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.63 / $2.00 / $3.07
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.66 / $2.22 / $3.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.79 / $1.35
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $2.29 / $2.29
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $2.29 / $2.29