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Nebraska rates for HCPCS Q4108

Integra matrix, per sq cm (add-on, list separately in addition to primary procedure)

Facilitymedian $44 · 10th–90th $39–$2000%20%10th90th$44Professionalmedian $39 · 10th–90th $38–$740%50%10th90th$39$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $38.90 / $38.90
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $38.90 / $64.57
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $41.69 / $43.65
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $41.69 / $43.65
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $190.55 / $229.09
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $64.57 / $125.89
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $69.18 / $95.50
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $48.98 / $74.13
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $58.88 / $67.61
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $204.17 / $309.03
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $67.61 / $123.03
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $43.65 / $51.29
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $83.18 / $134.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $120.23 / $125.89