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Oregon 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
Professional
Modifier
Low / Median / High Price
$1.92 / $4.73 / $18.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $3.35
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.79 / $13.40 / $15.76
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.80 / $5.94 / $11.05
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.92 / $6.22 / $6.88
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.19 / $6.40 / $7.53
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.57 / $6.55 / $7.21
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.80 / $6.24 / $11.05
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $5.74 / $7.01
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.85 / $7.21 / $7.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.57 / $2.78 / $5.30