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Pennsylvania rates for HCPCS A6230

Gauze, impregnated, water or normal saline, sterile, pad size more than 48 sq in, without adhesive border, each dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $8,511.38 / $77,624.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $2.29 / $2.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.62 / $1.62 / $3.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.38 / $1.38 / $1.38
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.74
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.60 / $0.60
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.16 / $3.16 / $3.16
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.16 / $3.16 / $3.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.41 / $2.75