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Maryland 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
$0.15 / $0.25 / $2.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $0.11 / $0.17
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.08
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.19 / $0.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.13
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $0.07 / $0.13