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Florida 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
$0.20 / $0.24 / $0.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.26 / $0.35
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 / $0.60
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.30 / $1.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.22 / $0.26
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.38 / $6.38 / $6.38