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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
Facility
Modifier
Low / Median / High Price
$0.79 / $0.79 / $0.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.79 / $1.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $2.62 / $5.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.60 / $4.21 / $5.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.22 / $1.91 / $2.75
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $1.09 / $2.67
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.07 / $1.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $1.09 / $2.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $1.06 / $12.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $1.09 / $2.67
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.07 / $1.07
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $3.09 / $4.09
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.52 / $2.58 / $90.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.22 / $6.85 / $12.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.73 / $0.82 / $1.39