go back

North Dakota rates for HCPCS A6404

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

Facilitymedian $1 · 10th–90th $0–$10%10%20%10th90th$1Professionalmedian $1 · 10th–90th $0–$20%20%10th90th$1$0.2$0.5$1.0$2.0$5.0

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.00
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.07 / $1.45 / $1.58
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.59 / $0.59 / $0.68
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.76 / $0.76 / $0.95
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.23 / $0.48 / $0.76
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.18 / $0.19 / $0.42
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.13 / $0.19 / $0.42