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Nebraska rates for HCPCS A6228

Gauze, impregnated, water or normal saline, sterile, pad size 16 sq in or less, without adhesive border, each dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.08 / $1.08 / $1.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $1.08 / $1.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.20 / $1.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.50 / $2.20 / $3.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.08 / $1.86 / $5.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.50 / $0.79 / $12.37
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.62 / $1.94 / $3.33
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.63 / $2.22 / $3.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.50 / $0.79 / $1.30