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Idaho 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
$9.34 / $9.34 / $9.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.84 / $4.80 / $8.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $3.35
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.67 / $5.63 / $9.35
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.22 / $6.22 / $6.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.15 / $11.46 / $12.77
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.59 / $4.59 / $6.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.57 / $2.78 / $4.68