go back

Nebraska rates for HCPCS Q4110

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.41 / $65.41 / $65.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.41 / $65.41 / $71.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.94 / $74.05 / $74.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.34 / $74.04 / $74.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.15 / $65.40 / $72.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.99 / $78.48 / $100.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.41 / $87.01 / $121.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.41 / $65.41 / $94.75
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.18 / $78.48 / $98.11
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.49 / $74.56 / $100.72
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.70 / $66.40 / $96.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.14 / $65.41 / $71.95