go back

Rhode Island 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
$6.00 / $6.00 / $6.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $0.07 / $0.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.25 / $0.32 / $0.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.12 / $0.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.06 / $0.08 / $0.13