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New Mexico 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
$0.12 / $0.12 / $0.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.09 / $0.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.50 / $1.14 / $2.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.12 / $0.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.23 / $0.23 / $0.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $0.13 / $0.14
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $0.07 / $0.11