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North Dakota 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
$0.11 / $0.11 / $0.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.10 / $0.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.17 / $0.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.59 / $0.59 / $0.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $0.15 / $0.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $0.07 / $0.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.07 / $0.13