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Iowa rates for HCPCS A6404

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

Facilitymedian $0 · 10th–90th $0–$10%10%20%10th90th$0Professionalmedian $0 · 10th–90th $0–$10%20%10th90th$0$0.2$1.0$5.0$20.0$100.0

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $0.76 / $0.93
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.93 / $0.98 / $151.36
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.27 / $0.45 / $1.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.19 / $0.28 / $1.10
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.42 / $0.62 / $0.81
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.63 / $0.68 / $0.91
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.20 / $0.20 / $0.28
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.19 / $0.20 / $0.34
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $0.60 / $0.60