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Nebraska rates for HCPCS A6023

Collagen Dressing Sterile Size More Than 48 Sq. In. Each (Revised 01/01/13)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.19 / $220.19 / $220.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.04 / $220.19 / $220.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.69 / $257.06 / $259.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.52 / $382.70 / $664.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.95 / $374.32 / $483.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.24 / $132.65 / $280.77
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.63 / $341.67 / $558.94
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.00 / $332.51 / $578.19
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.30 / $329.70 / $523.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.17 / $132.65 / $208.11