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New York 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
$0.07 / $0.15 / $9.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.06 / $0.09 / $0.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $0.07 / $0.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.18 / $0.18 / $0.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.08
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.15 / $0.27 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.20 / $0.33
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.13 / $0.13 / $0.13
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.13
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.18 / $0.18 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.09 / $0.17
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.10
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.13