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Ohio 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
$4.15 / $4.15 / $6.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.05 / $4.15 / $5.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.90 / $3.76 / $8.61
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.53 / $7.86 / $9.69
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.18 / $8.49 / $13.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $3.35
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.68 / $7.68 / $7.68
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $3.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.65 / $2.06 / $2.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.17 / $3.26 / $4.73