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Nebraska rates for HCPCS A6402

Gauze, nonimpregnated, sterile, pad size 16 sq in or less, without adhesive border, each dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.13 / $0.13 / $699.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.13 / $0.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.15 / $0.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.17 / $0.23 / $0.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.13 / $0.24 / $0.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.06 / $0.08 / $0.17
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.17 / $0.20 / $0.33
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.16 / $0.20 / $0.36
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.06 / $0.08 / $0.13