go back

Utah 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
$0.05 / $0.05 / $0.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.09 / $0.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $0.13 / $60.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.11 / $0.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.07 / $0.10