go back

Georgia rates for HCPCS A6402

Gauze Non-Impregnated Sterile Pad Size 16 Sq. In. Or Less Without Adhesive Border Each Dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $0.11 / $0.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.15 / $0.36
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.15 / $0.21 / $0.24
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.20 / $0.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $1.07
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.18 / $0.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.08 / $0.20