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New York 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 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $2.34 / $3.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $2.04 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.58
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.62 / $1.62 / $3.09
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.62 / $1.62 / $1.62
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.62 / $1.62
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.55 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.74 / $1.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.69 / $1.02 / $1.95
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.12 / $1.62 / $1.74
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.62 / $1.62