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Tennessee 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
$0.77 / $0.87 / $1.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.95 / $1.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.22 / $1.22 / $1.22
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.58 / $90.00 / $90.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.33 / $12.37 / $12.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.52 / $0.77 / $0.86