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Nevada rates for HCPCS A6404

Gauze Non-Impregnated Sterile Pad Size More Than 48 Sq. In. Without Adhesive Border Each Dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.32 / $0.32 / $0.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.27 / $0.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.38 / $6.38 / $6.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.60 / $0.62
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $200.00 / $493.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.22 / $0.38