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Alaska rates for HCPCS A6402

Gauze, nonimpregnated, sterile, pad size 16 sq in or less, without adhesive border, each dressing

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.16 / $0.16 / $0.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.08
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.14 / $0.16 / $0.22
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.22 / $0.45
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.16 / $0.16 / $3,495.87
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.13 / $0.16 / $0.16
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.14 / $0.16 / $0.22
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.14 / $0.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.42