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Nebraska rates for HCPCS A6025

Gel sheet for dermal or epidermal application, (e.g., silicone, hydrogel, other), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.19 / $13.19 / $13.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.27 / $13.19 / $15.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.97 / $14.71 / $14.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.86 / $27.87 / $41.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.19 / $23.08 / $68.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.06 / $9.64 / $20.41
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.86 / $23.78 / $41.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.96 / $27.87 / $41.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.06 / $9.64 / $15.90