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North Carolina 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%20%10th90th$0Professionalmedian $0 · 10th–90th $0–$00%20%40%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
$1.00 / $1.00 / $50.12
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.32 / $0.32 / $0.32
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.23 / $0.23 / $0.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $0.60 / $0.60
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.24 / $0.35 / $0.59
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.38 / $0.38 / $0.38
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $0.60 / $0.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.17 / $0.17 / $0.22
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.14 / $0.20 / $0.32
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89.13 / $89.13 / $89.13
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.82 / $5.50 / $5.50