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Missouri rates for HCPCS A6402

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

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

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
$2.34 / $2.34 / $2.34
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $9.33 / $20.89
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $10.96 / $12.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.07 / $0.08 / $0.15
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.09 / $0.09 / $0.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.08 / $0.08 / $0.08
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.09 / $0.16 / $0.50
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.06 / $0.08 / $3.55
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.09 / $0.10 / $0.15
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.05 / $0.08 / $0.12