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Nebraska rates for HCPCS A2014

Omeza collagen matrix, per 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.00 / $123.00 / $123.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.00 / $123.00 / $130.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,452.73 / $3,549.39 / $6,139.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.92 / $54.10 / $54.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.69 / $130.69 / $130.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.73 / $130.69 / $134.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.08 / $184.50 / $233.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.38 / $128.13 / $153.75
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.73 / $88.31 / $132.22
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.73 / $88.31 / $132.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.72 / $128.13 / $153.75