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Nationwide rates for HCPCS A6404

Gauze, nonimpregnated, sterile, pad size more than 48 sq in, without adhesive border, each dressing

Facilitymedian $5 · 10th–90th $0$90%20%10th90th$5Professionalmedian $1 · 10th–90th $0$60%20%10th90th$1$0.0$0.5$10.0$200.0$5.0K$100.0K$2.0M

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
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $21.88 / $21.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.00
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $6.03 / $15.14
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.35 / $6.31 / $7.59
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.59 / $0.91 / $2.51
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $0.60 / $0.87
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.17 / $0.28 / $0.76
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.14 / $0.22 / $0.39