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Nebraska rates for HCPCS Q4022

Cast supplies, short arm splint, adult (11 years +), fiberglass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.58 / $12.58 / $12.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.58 / $15.60 / $29.02
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.80 / $22.80 / $22.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.10 / $14.69 / $14.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.26 / $21.87 / $37.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.58 / $22.02 / $126.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.78 / $7.57 / $16.69
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.67 / $19.76 / $37.99
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.67 / $20.86 / $46.55
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.50 / $22.70 / $31.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.49 / $7.57 / $11.89