go back

Nebraska rates for HCPCS Q4102

Oasis Wound Matrix

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.70 / $11.70 / $11.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.88 / $11.88 / $13.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.43 / $13.45 / $13.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $13.25 / $13.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.19 / $11.88 / $13.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.88 / $14.41 / $18.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.70 / $19.89 / $30.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.70 / $11.70 / $13.49
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.19 / $14.41 / $18.11
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.64 / $14.04 / $23.08
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.90 / $15.70 / $22.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.29 / $11.88 / $13.07