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Colorado rates for HCPCS A6404

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

Facilitymedian $0 · 10th–90th $0–$00%50%100%$0Professionalmedian $0 · 10th–90th $0–$30%20%40%10th90th$0$0.2$0.5$1.0$2.0$5.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.28 / $0.28 / $0.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.26 / $6.31 / $6.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $0.60 / $0.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.00
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.65 / $0.66 / $0.66
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.20 / $0.22 / $0.38