go back

Massachusetts 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
$0.91 / $0.91 / $0.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.91 / $1.28
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.02 / $5.21 / $90.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.92 / $2.02 / $12.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.89 / $3.06 / $3.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.22 / $1.22 / $2.08
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.96 / $1.96 / $1.96
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.58 / $90.00 / $90.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $1.56 / $12.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.69 / $1.22 / $2.54