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Nebraska rates for HCPCS Q4111

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

Facilitymedian $8 · 10th–90th $7–$1910%20%10th90th$8Professionalmedian $8 · 10th–90th $7–$130%20%40%10th90th$8$10.0$20.0$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
$7.94 / $7.94 / $7.94
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.94 / $13.18
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.61 / $8.51 / $8.91
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $8.51 / $8.91
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $190.55 / $229.09
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $9.33 / $125.89
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $10.72 / $15.85
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $9.12
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $8.51 / $10.96
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $204.17 / $309.03
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $10.96 / $17.78
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $14.13 / $15.85
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $12.59 / $102.33
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $120.23 / $125.89