go back

Nebraska rates for HCPCS A6505

Compression Burn Garment Glove To Elbow Custom Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $75.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.00 / $75.00 / $75.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.27 / $98.27 / $98.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $120.00 / $142.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.11 / $188.44 / $188.44
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.11 / $126.11 / $126.11
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.48 / $109.48 / $126.11