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Minnesota rates for HCPCS A6404

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

Facilitymedian $2 · 10th–90th $1–$50%5%10%10th90th$2Professionalmedian $1 · 10th–90th $0–$10%50%10th90th$1$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
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $2.00
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.62 / $2.51 / $6.03
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.49 / $0.62 / $0.62
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.58 / $1.10 / $3.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.76 / $0.83 / $0.95
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.15 / $2.24 / $4.68
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.76 / $0.76 / $0.79
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.23 / $0.48 / $0.79
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.14 / $0.20 / $0.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.14 / $0.22 / $0.47