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Massachusetts 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
$0.07 / $0.07 / $0.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $0.08 / $0.11
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.13 / $0.24 / $80.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.15 / $3.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $0.12 / $0.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.09
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.11
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.12 / $0.12
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.52 / $80.00 / $80.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $0.10 / $3.68
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $0.10 / $0.24