go back

Nebraska rates for HCPCS A6216

Gauze, nonimpregnated, nonsterile, pad size 16 sq in or less, without adhesive border, each dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.04 / $0.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.05 / $0.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.06 / $0.08 / $0.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $0.07 / $0.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.06
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.06 / $0.07 / $0.13
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.06 / $0.07 / $0.13
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,874.84 / $1,874.84 / $1,874.84
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.05