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Louisiana 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
$3.76 / $4.63 / $4.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.93 / $4.63 / $5.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.71 / $9.75 / $13.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.37 / $4.05 / $4.05
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.94 / $3.94 / $3.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $3.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $3.11 / $4.63