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Idaho rates for HCPCS A6402

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

Facilitymedian $0 · 10th–90th $0–$1000%20%10th90th$0Professionalmedian $0 · 10th–90th $0–$00%20%10th90th$0$0.1$0.2$1.0$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $776.25 / $776.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.05 / $0.05 / $0.05
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.12 / $0.16 / $0.24
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.16 / $0.17 / $0.17
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.08 / $0.08 / $0.08
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.09 / $0.15 / $0.26
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.13 / $0.14 / $0.16
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.11 / $0.11 / $0.16
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.15 / $0.15 / $0.16
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.05 / $0.07 / $0.10