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New Hampshire 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
$3.42 / $3.42 / $4.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.85 / $3.42 / $4.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.90 / $2.90 / $2.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.68 / $7.68 / $7.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $3.35
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.33 / $5.33 / $8.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.17 / $3.26 / $3.96
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.38 / $4.83 / $6.15