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Nebraska rates for HCPCS Q4028

Cast supplies, hip spica (one or both legs), pediatric (0-10 years), fiberglass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.06 / $61.06 / $61.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.81 / $61.06 / $61.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.40 / $71.28 / $72.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.90 / $106.11 / $184.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.06 / $106.86 / $319.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.07 / $36.79 / $77.86
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.87 / $95.00 / $154.97
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.87 / $95.85 / $172.34
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.20 / $109.90 / $153.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.67 / $36.79 / $61.31