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Nebraska rates for HCPCS Q4004

Cast supplies, shoulder cast, adult (11 years +), fiberglass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.86 / $125.86 / $125.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.25 / $125.86 / $125.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.00 / $146.94 / $148.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.63 / $218.76 / $379.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.86 / $220.26 / $411.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.87 / $75.83 / $160.50
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.71 / $195.30 / $319.49
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.90 / $175.35 / $332.83
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.03 / $226.70 / $316.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.97 / $75.83 / $118.96