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North Dakota 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
$1.26 / $1.26 / $1.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.93 / $1.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.35 / $2.35 / $2.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.50 / $1.52 / $1.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.26 / $1.76 / $2.39
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.82 / $1.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.53 / $0.86 / $1.70