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Connecticut 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
$0.38 / $0.38 / $1.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.38 / $0.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $0.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.31 / $0.31
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.86 / $1.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.28 / $0.51