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Nebraska rates for HCPCS Q4111

Gammagraft Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.12 / $7.12 / $7.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.87 / $7.87 / $8.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.57 / $8.91 / $8.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.66 / $8.46 / $8.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.87 / $11.93 / $14.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.87 / $9.11 / $11.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.12 / $12.10 / $16.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.12 / $7.12 / $7.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.35 / $9.11 / $10.99
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.36 / $9.11 / $14.66
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.20 / $13.60 / $15.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.48 / $7.87 / $7.87