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Nebraska rates for HCPCS A2008

TheraGenesis, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $141.25 / $141.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $144.54 / $151.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $83.18 / $83.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $208.93 / $229.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $151.36 / $181.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $177.83 / $275.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $162.18 / $177.83
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $134.90 / $173.78
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $208.93 / $309.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $204.17 / $204.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $147.91 / $239.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $162.18 / $177.83