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Nebraska rates for HCPCS Q4112

Cymetra, injectable, 1 cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$872.08 / $915.68 / $915.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.00 / $915.68 / $915.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$888.55 / $987.28 / $3,549.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$937.91 / $987.27 / $987.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$670.85 / $735.08 / $872.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$872.08 / $1,053.06 / $1,210.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$591.66 / $915.68 / $1,831.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$872.08 / $872.08 / $872.08
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.06 / $1,053.06 / $1,240.79
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.07 / $1,010.97 / $1,240.79
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$631.40 / $631.40 / $765.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$828.48 / $872.08 / $872.08