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Minnesota rates for HCPCS A6402

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.10 / $0.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.14 / $0.22 / $1.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.14 / $0.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.60 / $1.03 / $2.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.44 / $0.48
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.57 / $0.95 / $2.25
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $0.15 / $0.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.06 / $0.07 / $0.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.07 / $0.24