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Ohio 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
$0.10 / $0.10 / $0.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.10 / $0.12
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.00 / $13.00 / $13.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.09 / $0.20
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.15 / $0.19 / $0.23
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.17 / $0.20 / $0.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.08
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.18 / $0.18 / $0.20
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.13 / $0.13 / $0.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.08 / $0.10