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Nebraska rates for HCPCS A6404

Gauze, nonimpregnated, sterile, pad size more than 48 sq in, without adhesive border, each dressing

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

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
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.28 / $0.30 / $0.30
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.48 / $0.60 / $0.93
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.27 / $0.46 / $1.05
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.13 / $0.20 / $5.25
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.42 / $0.54 / $0.83
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.56 / $0.76 / $0.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.12 / $0.20 / $0.34