go back

Nebraska rates for HCPCS A2007

Restrata, per sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.60 / $193.60 / $193.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.60 / $193.60 / $205.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.03 / $74.76 / $74.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.70 / $205.70 / $205.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.94 / $184.65 / $205.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.60 / $300.08 / $367.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.00 / $220.00 / $242.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.94 / $120.81 / $191.41
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.94 / $120.81 / $191.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.00 / $220.00 / $242.00