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New Jersey 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
$3.18 / $3.18 / $3.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.92 / $3.18 / $5.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $3.35
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.53 / $8.55 / $11.43
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.34 / $4.34 / $4.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.93 / $3.26 / $4.29