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Nationwide rates for HCPCS A6404

Gauze Non-Impregnated Sterile Pad Size More Than 48 Sq. In. Without Adhesive Border Each Dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.24 / $0.26 / $0.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.25 / $0.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.67 / $5.56 / $9.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.59 / $6.38 / $6.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.67 / $0.67 / $0.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.60 / $0.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.22 / $0.38