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South 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%10%10th90th$0Professionalmedian $0 · 10th–90th $0$10%20%10th90th$0$0.2$0.5$1.0$2.0

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 / $1.00
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
$0.23 / $0.34 / $0.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.18 / $0.20 / $0.31