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Iowa 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
Professional
Modifier
Low / Median / High Price
$0.09 / $0.13 / $0.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.20 / $0.47
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.18 / $0.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $0.15 / $0.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.11 / $0.43
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.17 / $0.19 / $0.33
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.19 / $0.27
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.20 / $0.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.13
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.14 / $0.14 / $0.14
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.14 / $0.14