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Washington 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
$3.71 / $8.42 / $8.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.71 / $8.78
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.74 / $80.00 / $80.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.44 / $5.74 / $47.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $3.35
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.68 / $6.90 / $12.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.72 / $7.12 / $12.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.51 / $5.52 / $60.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.19 / $6.40 / $7.21
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.19 / $6.55 / $6.55
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.44 / $5.74 / $10.61
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.44 / $6.40 / $7.36
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.29 / $5.57 / $6.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.64 / $3.34 / $5.30
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.90 / $2.90 / $5.57