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North Dakota 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
$4.76 / $4.76 / $4.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.36 / $4.18 / $4.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.99 / $7.25 / $7.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.75 / $11.75 / $13.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.50 / $7.58 / $9.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.76 / $6.55 / $11.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.61 / $2.78 / $6.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $2.61 / $5.22