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Iowa rates for HCPCS A6403

Gauze, nonimpregnated, sterile, pad size more than 16 sq in but less than or equal to 48 sq in, without adhesive border, each dressing

Facilitymedian $1 · 10th–90th $0–$10%20%10th90th$1Professionalmedian $1 · 10th–90th $0–$30%20%10th90th$1$0.2$1.0$5.0$20.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $2.51 / $2.51
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $0.76 / $0.95
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.48 / $0.69 / $1.02
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.41 / $0.63 / $1.07
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.28 / $0.37 / $1.26
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.63 / $0.66 / $1.00
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.51 / $1.00 / $1.29
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.79 / $0.79 / $1.10
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.28 / $0.28 / $0.34
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.27 / $0.28 / $0.49
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.51 / $0.51 / $0.51