go back

Wisconsin rates for HCPCS A6231

Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size 16 sq in or less, each dressing

Facilitymedian $7 · 10th–90th $7$110%50%90th$7Professionalmedian $5 · 10th–90th $3$90%10%20%10th90th$5$1.0$5.0$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $10.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.98 / $5.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.61 / $6.61 / $10.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $6.17 / $7.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $20.89 / $33.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $9.33 / $12.59
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.72 / $5.50 / $9.55
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $8.51 / $10.72
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $6.61 / $14.79
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.75 / $3.24 / $32.36
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $10.47 / $10.47
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $7.59 / $13.18
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $10.00 / $17.78
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $13.18 / $79.43
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $8.13 / $32.36
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $6.61 / $6.61
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $6.61 / $6.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.19 / $3.24 / $5.25