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Nationwide rates for HCPCS A6404

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $21.88 / $21.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.79 / $6.03 / $15.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.35 / $6.31 / $7.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.60 / $0.87 / $2.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.60 / $0.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.19 / $0.28 / $0.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.22 / $0.38