go back

Iowa 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
$0.09 / $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