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Kansas 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
$0.36 / $0.36 / $0.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.21 / $0.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.41 / $1.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.60 / $0.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.18 / $0.34 / $0.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.22 / $5.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.21 / $0.37