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Wisconsin 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
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $2.14 / $4.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.63 / $4.17 / $6.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.86 / $2.82
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $1.10 / $2.24
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $5.37 / $7.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $1.17 / $2.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.85 / $12.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $50.12 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $3.02 / $4.37
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.51 / $2.51 / $89.13
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $6.92 / $12.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $0.81 / $1.41