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Nebraska rates for HCPCS A6402

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

Facilitymedian $0 · 10th–90th $0–$790%20%10th90th$0Professionalmedian $0 · 10th–90th $0–$00%10%20%10th90th$0$0.1$0.2$1.0$5.0$20.0$100.0$500.0

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
$691.83 / $691.83 / $691.83
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.14 / $0.15 / $0.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.08 / $0.23 / $0.47
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.13 / $0.22 / $2.34
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.05 / $0.08 / $1.00
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.17 / $0.18 / $0.40
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $0.38 / $0.38
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.10 / $0.20 / $0.30
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.15 / $0.15 / $0.15
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.06 / $0.08 / $0.13