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California 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
$1.75 / $1.92 / $18.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $3.05 / $18.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.12 / $2.52 / $4.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.87 / $2.90 / $6.09
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.87 / $9.65 / $13.83
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.62 / $16.57 / $24.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $3.35
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.55 / $7.21 / $8.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $8.19 / $15.07
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.30 / $80.00 / $85.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.61 / $32.61 / $48.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.42 / $13.42 / $13.42
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.68 / $6.55 / $8.90
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $6.88
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.37 / $12.37 / $12.37
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.32 / $4.75 / $5.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.59 / $2.95 / $7.86