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North Carolina 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
$5.74 / $5.74 / $5.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.42 / $5.74 / $5.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.95 / $9.72 / $11.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.55 / $4.91 / $5.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $3.35
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.91 / $5.85 / $9.50
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.91 / $11.19
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.80 / $8.80 / $12.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.50 / $3.27 / $5.12
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.30 / $80.00 / $85.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.61 / $32.61 / $48.98