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Oregon rates for HCPCS A6402

Gauze, nonimpregnated, sterile, pad size 16 sq in or less, without adhesive border, each dressing

Facilitymedian $0 · 10th–90th $0–$00%50%10th$0Professionalmedian $0 · 10th–90th $0–$10%10%20%10th90th$0$0.1$0.5$5.0$50.0$500.0$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$190.55 / $2,238.72 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.05 / $0.05 / $0.05
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.08 / $0.08 / $0.08
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.54 / $0.72 / $151.36
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.10 / $0.14 / $0.28
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.12 / $0.14 / $0.17
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.14 / $0.15 / $0.15
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.14 / $0.15 / $0.15
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.09 / $0.15 / $0.24
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.08 / $0.15 / $79.43
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.17 / $0.17 / $0.17
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.04 / $0.07 / $0.11