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Virginia 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
$4.04 / $4.04 / $4.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.17 / $4.04 / $4.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.90 / $2.90 / $4.41
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.63 / $3.63 / $3.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.94 / $3.94 / $7.68
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
$5.55 / $7.64 / $10.45
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.04 / $5.25 / $8.16
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.30 / $10.00 / $15.31
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.66 / $5.83 / $11.10
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.66 / $5.83 / $11.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $3.26 / $5.36