go back

Indiana 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
$1.00 / $1.12 / $1.12
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
$2.34 / $2.34 / $4.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $2.34 / $3.55
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.20 / $1.32 / $7.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.58 / $0.79 / $1.45