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Nebraska rates for HCPCS A2004

XCelliStem, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $12.02 / $12.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.02 / $12.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $131.83 / $131.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.18 / $13.18 / $13.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $13.18 / $630.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.59 / $18.20 / $28.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $12.88 / $19.50
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $275.42 / $1,202.26
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $331.13 / $1,202.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $15.49 / $41.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $12.88 / $14.45