go back

South Carolina rates for HCPCS A6402

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

Insurance Carrier
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $10.96 / $12.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.16 / $0.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.24 / $0.24 / $0.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.08
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.12 / $0.12
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $0.15 / $0.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.06 / $0.08 / $0.11