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Nebraska rates for HCPCS A6224

Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 48 sq in, without adhesive border, each dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.17 / $4.17 / $4.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.92 / $4.17 / $4.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.66 / $4.86 / $4.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.39 / $7.25 / $12.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.82 / $7.09 / $9.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.92 / $2.50 / $5.32
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.52 / $6.47 / $10.59
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $6.54 / $10.96
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.70 / $6.30 / $9.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $2.50 / $3.95