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Nebraska rates for HCPCS A6219

Gauze, nonimpregnated, sterile, pad size 16 sq in or less, with any size adhesive border, each dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.10 / $1.10 / $1.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.77 / $1.10 / $1.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.29 / $1.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.43 / $1.88 / $3.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.05 / $1.93 / $2.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.51 / $0.67 / $1.41
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.46 / $1.71 / $2.80
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.22 / $1.73 / $2.90
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.60 / $2.00 / $2.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.67 / $1.04