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Virginia 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
$1.07 / $1.07 / $1.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.75 / $1.07 / $1.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.37 / $3.16
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.48 / $2.48 / $2.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.43 / $1.43 / $1.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.22 / $1.22 / $1.22
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.27 / $1.59 / $2.47
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.07 / $1.39 / $2.31
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.39 / $2.00 / $3.14
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.33 / $1.64 / $2.99
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.64 / $2.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.82 / $0.92 / $1.76