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Wisconsin rates for HCPCS A6233

Gauze Impregnated Hydrogel For Direct Wound Contact Pad Size More Than 48 Sq. In. Each Dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.56 / $15.56 / $44.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.71 / $15.56 / $22.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.79 / $26.79 / $44.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.91 / $26.79 / $30.54
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.79 / $57.33 / $57.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.09 / $84.24 / $111.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.93 / $31.44 / $50.70
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.05 / $21.78 / $26.79
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.35 / $15.35 / $26.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.18 / $22.08 / $28.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.46 / $15.15 / $33.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.52 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.05 / $22.08 / $26.79
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.35 / $15.35 / $26.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.79 / $40.19 / $68.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.32 / $54.38 / $125.85
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.93 / $12.04 / $133.41
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.79 / $26.79 / $26.79
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.79 / $26.79 / $26.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.86 / $13.37 / $24.81