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Wisconsin rates for HCPCS A6233

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

Facilitymedian $28 · 10th–90th $27–$450%20%40%10th90th$28Professionalmedian $20 · 10th–90th $12–$410%10%20%10th90th$20$10.0$50.0$200.0$1.0K$5.0K

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
$15.14 / $15.14 / $44.67
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $16.98 / $22.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $27.54 / $44.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $28.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$72.44 / $85.11 / $134.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $30.90 / $51.29
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $22.39 / $38.90
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $28.18 / $34.67
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $26.92 / $60.26
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $13.49 / $134.90
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
$43.65 / $43.65 / $43.65
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $30.90 / $53.70
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $40.74 / $72.44
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $125.89
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $12.02 / $134.90
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $27.54 / $27.54
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $27.54 / $27.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $13.49 / $21.38