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Nebraska rates for HCPCS Q4134

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.66 / $129.66 / $129.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.66 / $129.66 / $137.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.97 / $183.49 / $183.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.31 / $183.49 / $183.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.08 / $162.08 / $162.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.08 / $198.77 / $224.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.66 / $194.49 / $239.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.97 / $162.08 / $162.08
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.39 / $203.74 / $203.74
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.39 / $203.74 / $203.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.97 / $162.08 / $162.08