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Nebraska rates for HCPCS A6503

Compression burn garment, facial hood, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $50.12 / $50.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $50.12 / $50.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $75.86 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $138.04 / $138.04