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Nebraska rates for HCPCS A6233

Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size more than 48 sq in, each dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.19 / $22.19 / $22.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.56 / $22.19 / $22.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.85 / $25.89 / $26.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.67 / $38.56 / $66.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.13 / $37.72 / $48.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.19 / $13.37 / $28.30
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.39 / $34.43 / $56.33
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.00 / $33.26 / $58.26
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.20 / $40.29 / $52.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.69 / $13.37 / $20.98