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Nebraska rates for HCPCS A6221

Gauze, nonimpregnated, sterile, pad size more than 48 sq in, with any size adhesive border, each dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.69 / $1.69 / $1.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.69 / $1.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.89 / $1.89 / $1.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.69 / $2.79 / $3.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.14 / $5.14 / $6.01
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.74 / $6.01 / $6.01
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.22 / $5.59 / $6.01