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Nebraska rates for HCPCS Q4127

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.00 / $68.48 / $68.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.48 / $68.48 / $75.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.90 / $77.53 / $77.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.65 / $77.53 / $77.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.83 / $31.94 / $68.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.48 / $82.18 / $105.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.00 / $108.21 / $153.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.66 / $68.48 / $82.18
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.08 / $82.18 / $102.73
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.08 / $82.18 / $105.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.06 / $68.48 / $102.74