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Indiana 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
$5.62 / $5.62 / $6.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.84 / $3.93 / $5.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.90 / $2.90 / $5.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.90 / $2.90 / $4.11
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.55 / $8.52 / $9.83
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.88 / $7.84 / $9.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $6.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $3.27 / $4.68