# HCPCS A6222: Gauze, impregnated with other than water/normal saline, sterile, pad size 16 sq in or less

Medicare HCPCS A6222 pays $3.06 on average under the 2026 Q4 Medicare DMEPOS Fee Schedule (non-rural). State amounts run from $3.04 in Wyoming to $3.66 in Puerto Rico, a 20% spread.

Web page: https://www.med-reveal.com/rates/A6222-hcpcs-fee-schedule
Section: DME, Prosthetics, Orthotics and Supplies

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $3.06 |
| National facility | $3.06 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Puerto Rico | $3.66 | $3.66 |
| Hawaii | $3.27 | $3.27 |
| Alaska | $3.11 | $3.11 |
| Alabama | $3.04 | $3.04 |
| Arizona | $3.04 | $3.04 |
| Arkansas | $3.04 | $3.04 |
| California | $3.04 | $3.04 |
| Colorado | $3.04 | $3.04 |
| Connecticut | $3.04 | $3.04 |
| Delaware | $3.04 | $3.04 |
| District of Columbia | $3.04 | $3.04 |
| Florida | $3.04 | $3.04 |
| Georgia | $3.04 | $3.04 |
| Idaho | $3.04 | $3.04 |
| Illinois | $3.04 | $3.04 |
| Indiana | $3.04 | $3.04 |
| Iowa | $3.04 | $3.04 |
| Kansas | $3.04 | $3.04 |
| Kentucky | $3.04 | $3.04 |
| Louisiana | $3.04 | $3.04 |
| Maine | $3.04 | $3.04 |
| Maryland | $3.04 | $3.04 |
| Massachusetts | $3.04 | $3.04 |
| Michigan | $3.04 | $3.04 |
| Minnesota | $3.04 | $3.04 |
| Mississippi | $3.04 | $3.04 |
| Missouri | $3.04 | $3.04 |
| Montana | $3.04 | $3.04 |
| Nebraska | $3.04 | $3.04 |
| Nevada | $3.04 | $3.04 |
| New Hampshire | $3.04 | $3.04 |
| New Jersey | $3.04 | $3.04 |
| New Mexico | $3.04 | $3.04 |
| New York | $3.04 | $3.04 |
| North Carolina | $3.04 | $3.04 |
| North Dakota | $3.04 | $3.04 |
| Ohio | $3.04 | $3.04 |
| Oklahoma | $3.04 | $3.04 |
| Oregon | $3.04 | $3.04 |
| Pennsylvania | $3.04 | $3.04 |
| Rhode Island | $3.04 | $3.04 |
| South Carolina | $3.04 | $3.04 |
| South Dakota | $3.04 | $3.04 |
| Tennessee | $3.04 | $3.04 |
| Texas | $3.04 | $3.04 |
| Utah | $3.04 | $3.04 |
| Vermont | $3.04 | $3.04 |
| Virgin Islands | $3.04 | $3.04 |
| Virginia | $3.04 | $3.04 |
| Washington | $3.04 | $3.04 |
| West Virginia | $3.04 | $3.04 |
| Wisconsin | $3.04 | $3.04 |
| Wyoming | $3.04 | $3.04 |

## Related codes

- A6196: Alginate dressing, wound cover, sterile, pad size 16 sq in or less — https://www.med-reveal.com/rates/A6196-hcpcs-fee-schedule
- A6216: Gauze, non-impregnated, non-sterile, pad size 16 sq in or less — https://www.med-reveal.com/rates/A6216-hcpcs-fee-schedule
- A6234: Hydrocolloid dressing, wound cover, sterile, pad size 16 sq in or less — https://www.med-reveal.com/rates/A6234-hcpcs-fee-schedule
- A6242: Hydrogel dressing, wound cover, sterile, pad size 16 sq in or less — https://www.med-reveal.com/rates/A6242-hcpcs-fee-schedule
- A6248: Hydrogel dressing, wound filler, gel, per fluid ounce — https://www.med-reveal.com/rates/A6248-hcpcs-fee-schedule
- A6402: Gauze, non-impregnated, sterile, pad size 16 sq in or less — https://www.med-reveal.com/rates/A6402-hcpcs-fee-schedule
- A6407: Packing strips, non-impregnated, sterile, per linear yard — https://www.med-reveal.com/rates/A6407-hcpcs-fee-schedule
- A6441: Padding bandage, non-elastic, non-woven, width 3in to 5in, per yard — https://www.med-reveal.com/rates/A6441-hcpcs-fee-schedule

Commercial negotiated rates for A6222 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules