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North Dakota rates for HCPCS A6233

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $19.50 / $19.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $17.09 / $19.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.50 / $29.62 / $32.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.98 / $46.98 / $54.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.13 / $31.44 / $38.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $26.79 / $48.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.68 / $11.36 / $26.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.58 / $11.14 / $21.35