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Arkansas 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
$0.31 / $0.31 / $0.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.31 / $0.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.20 / $2.75 / $2.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.17 / $0.60 / $0.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.19 / $0.48