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Alabama 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
$0.26 / $0.26 / $0.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.26 / $0.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.70 / $0.70 / $0.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.60 / $0.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.18 / $0.38