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Idaho 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
$0.79 / $1.17 / $1.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.22 / $1.22 / $1.22
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.12 / $1.45 / $2.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,000.00 / $3,500.00 / $3,500.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.46 / $1.46 / $3.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.82 / $0.86 / $1.28