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Virginia 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
$0.10 / $0.10 / $3,207.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.10 / $0.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $0.07 / $0.10
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.18
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
$0.13 / $0.18 / $0.24
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $0.14 / $0.24
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.25 / $0.36
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $0.15 / $0.30
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.15 / $0.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.13