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Pennsylvania rates for HCPCS A6231

Gauze Impregnated Hydrogel For Direct Wound Contact Pad Size 16 Sq. In. Or Less Each Dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.20 / $30.80 / $477.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.84 / $4.00 / $5.24
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$967.00 / $57,255.43 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.53 / $6.53 / $6.53
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
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.86 / $8.84 / $9.47
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.20 / $30.80 / $477.64
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.05 / $4.00 / $6.18
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.10 / $9.30 / $12.90
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.68 / $7.68 / $7.68
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $3.35
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.66 / $4.88 / $6.22
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.66 / $6.22 / $6.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $3.26 / $5.43