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Washington rates for HCPCS A6228

Gauze Impregnated Water Or Normal Saline Pad Size 16 Sq. In. Or Less Without Adhesive Border Each Dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.12 / $2.57 / $2.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.61 / $1.12 / $1.95
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.83 / $85.00 / $90.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.88 / $3.81 / $12.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.22 / $1.22 / $1.22
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.55 / $2.90 / $4.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $2.90 / $4.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.20 / $2.64 / $2.68
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.81 / $1.81 / $1.83
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.88 / $2.83 / $3.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.77 / $0.86 / $1.44
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.37 / $2.37