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Nebraska rates for HCPCS A2009

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.26 / $72.26 / $72.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.26 / $72.26 / $102.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.13 / $93.13 / $93.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.13 / $93.13 / $93.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.32 / $104.09 / $164.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.30 / $91.30 / $125.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.74 / $91.30 / $100.43