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Missouri rates for HCPCS A6231

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

Facilitymedian $6 · 10th–90th $2–$130%10%10th90th$6Professionalmedian $4 · 10th–90th $2–$60%20%10th90th$4$0.5$1.0$2.0$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $6.03 / $6.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.98 / $6.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.88 / $3.39 / $6.17
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $6.61
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $3.39 / $3.39
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.63 / $6.61 / $17.78
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $3.24 / $32.36
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.55 / $4.27 / $6.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.19 / $3.09 / $4.90