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Oklahoma 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 / $0.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.10 / $0.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.14 / $0.14 / $0.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.14 / $0.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $0.11 / $0.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.10 / $3.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.08 / $0.10