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North Carolina 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
$0.14 / $0.14 / $4.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.14 / $0.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $0.13 / $0.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.11 / $0.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.08
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.13 / $0.18 / $1.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.13 / $0.27
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.20 / $0.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.06 / $0.08 / $0.13
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.52 / $80.00 / $85.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $3.68 / $3.68