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Nebraska rates for HCPCS A6258

Transparent film, sterile, more than 16 sq in but less than or equal to 48 sq in, each dressing

Facilitymedian $7 · 10th–90th $4–$110%10%10th90th$7Professionalmedian $3 · 10th–90th $2–$60%20%10th90th$3$1.0$2.0$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $3.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.02 / $5.37
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $5.75 / $5.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.09 / $7.08 / $12.59
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.07 / $7.76 / $11.22
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.02 / $8.32
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $6.76 / $16.22
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $15.14 / $15.14
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $8.13 / $12.02
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.17 / $6.17 / $6.17
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.19 / $3.02 / $4.68