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New Hampshire 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
$14.09 / $14.09 / $16.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.71 / $14.09 / $18.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.90 / $11.90 / $11.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.39 / $31.39 / $31.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.93 / $12.04 / $12.04
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.85 / $21.85 / $33.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $13.37 / $20.14
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.02 / $19.82 / $25.23