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Nebraska rates for HCPCS A6215

Foam dressing, wound filler, sterile, per g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.04 / $4.04 / $4.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.86 / $4.04 / $4.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $10.13 / $12.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.04 / $6.67 / $7.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.32 / $11.23 / $11.23
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.32 / $4.32 / $12.63
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.32 / $11.47 / $12.29