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Tennessee 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
$0.08 / $0.09 / $0.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $0.10 / $0.14
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $15.00 / $15.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.15 / $0.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.08
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.52 / $80.00 / $85.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $3.54 / $3.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.08 / $0.09