go back

Oregon rates for HCPCS A6402

Gauze Non-Impregnated Sterile Pad Size 16 Sq. In. Or Less Without Adhesive Border Each Dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $192.72 / $4,411.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.10 / $0.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.08
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.64 / $0.79 / $0.93
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $0.15 / $0.74
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.14 / $0.19
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.14 / $0.15 / $0.17
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.15 / $0.15
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $0.15 / $0.74
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.14 / $0.17
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.16 / $0.17 / $0.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $0.07 / $0.13