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California rates for HCPCS A6233

Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size more than 48 sq in, each dressing

Facilitymedian $11 · 10th–90th $9$330%10%20%10th90th$11Professionalmedian $17 · 10th–90th $11$830%10%10th90th$17$10.0$20.0$50.0$100.0$200.0$500.0

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
$7.08 / $7.08 / $117.49
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $16.98 / $102.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $11.22 / $28.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $38.02
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $37.15 / $56.23
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $50.12 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $12.02 / $12.02
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $30.20 / $37.15
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $27.54 / $81.28
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128.82 / $128.82 / $128.82
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $199.53 / $199.53
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $26.92 / $26.92
Optum
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $70.79
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $27.54 / $38.02
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $12.02 / $25.70
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $50.12 / $50.12
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $22.91 / $32.36
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $12.02 / $27.54