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Arizona rates for HCPCS A6231

Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size 16 sq in or less, each dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.98 / $6.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.82 / $3.02 / $7.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $8.32 / $13.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $3.39 / $3.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.89 / $6.03 / $13.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.51 / $2.75 / $32.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $3.98 / $3.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.51 / $2.75 / $4.17