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Alabama rates for HCPCS A6403

Gauze Non-Impregnated Sterile Pad Size More Than 16 Sq. In. Less Than Or Equal To 48 Sq. In. Without Adhesive Border Each Dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.42 / $0.42 / $0.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.42 / $0.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.41 / $0.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.36 / $0.36 / $0.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.31 / $0.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.17 / $0.25 / $0.39