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Nebraska rates for HCPCS A6025

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

Facilitymedian $22 · 10th–90th $13–$680%10%20%10th90th$22Professionalmedian $12 · 10th–90th $7–$160%10%10th90th$12$10.0$20.0$50.0$100.0$200.0$500.0

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
$12.88 / $12.88 / $12.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $12.02 / $15.85
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $14.45 / $14.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $28.18 / $50.12
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $22.39 / $75.86
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $9.55 / $158.49
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $26.92 / $40.74
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $36.31 / $38.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $9.55 / $16.60