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HCPCS Range Hydrogel Dressings

• 1 Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ( A6242 )

• 2 Hydrogel dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing ( A6243 )

• 3 Hydrogel dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing ( A6244 )

• 4 Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing ( A6245 )

• 5 Hydrogel dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing ( A6246 )

• 6 Hydrogel dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing ( A6247 )

• 7 Hydrogel dressing, wound filler, gel, per fluid ounce ( A6248 )