go back

West Virginia 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
$14.78 / $14.78 / $14.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.78 / $16.55 / $18.11
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.47 / $40.19 / $46.88
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.41 / $32.15 / $62.13
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.10 / $15.11 / $26.79