go back

Nebraska rates for HCPCS A6513

Compression burn mask, face and/or neck, plastic or equal, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.74 / $29.74 / $29.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.74 / $29.74 / $29.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.88 / $291.08 / $872.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.74 / $49.07 / $56.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.47 / $36.47 / $36.47
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.47 / $36.47 / $36.47
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.47 / $36.47 / $36.47