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Nebraska rates for HCPCS C9364

Porcine implant, Permacol, per sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.30 / $17.30 / $17.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.30 / $17.30 / $18.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,452.73 / $3,549.39 / $6,139.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.39 / $18.39 / $39.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.39 / $18.39 / $18.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.30 / $28.55 / $33.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.19 / $82.19 / $82.19