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Nebraska rates for HCPCS Q4114

Integra flowable wound matrix, injectable, 1 cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,494.41 / $1,542.24 / $1,542.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,494.41 / $1,494.41 / $1,643.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,438.05 / $1,691.82 / $1,691.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,607.23 / $1,691.81 / $1,745.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,494.41 / $1,991.85 / $2,037.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,494.41 / $1,842.81 / $2,400.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,542.24 / $2,544.69 / $3,587.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,494.35 / $1,542.24 / $2,830.52
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,793.22 / $1,824.69 / $2,301.29
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,519.72 / $1,833.61 / $2,301.29
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,917.60 / $1,917.60 / $2,325.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,419.69 / $1,494.41 / $2,241.62