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Nebraska rates for HCPCS A5122

Skin barrier; solid, 8 x 8 or equivalent, each

Facilitymedian $18 · 10th–90th $7–$790%10%10th90th$18Professionalmedian $11 · 10th–90th $5–$450%10%10th90th$11$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
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $14.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $13.49 / $77.62
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $17.38 / $17.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $10.72 / $19.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $20.42 / $30.20
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $25.12 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $8.91 / $18.20
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $19.95 / $47.86
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $19.95
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $44.67 / $47.86
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.13 / $8.13 / $11.75
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $8.71 / $14.13