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Nebraska rates for HCPCS A6215

Foam dressing, wound filler, sterile, per g

Facilitymedian $6 · 10th–90th $4–$80%20%10th90th$6Professionalmedian $4 · 10th–90th $2–$50%50%10th90th$4$2.0$5.0$10.0$20.0$50.0$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
$3.98 / $3.98 / $3.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.98 / $4.47
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.95 / $10.23 / $12.59
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.07 / $6.03 / $7.94
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $4.37 / $11.22
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $69.18 / $83.18