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Nebraska rates for HCPCS Q4121

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.85 / $48.85 / $52.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.75 / $52.75 / $58.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.76 / $59.72 / $59.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.53 / $56.72 / $59.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.60 / $63.60 / $79.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.75 / $62.14 / $79.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.00 / $82.32 / $100.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.85 / $48.85 / $51.79
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.19 / $62.14 / $72.68
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.30 / $58.62 / $95.79
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.40 / $43.00 / $98.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.11 / $52.75 / $52.75