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Nebraska rates for HCPCS Q4140

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.62 / $161.62 / $164.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.62 / $161.62 / $177.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.53 / $182.98 / $182.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.83 / $182.97 / $186.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.62 / $161.62 / $161.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.62 / $202.70 / $260.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.84 / $263.74 / $329.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.84 / $164.84 / $446.65
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.86 / $202.70 / $331.40
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.86 / $202.70 / $260.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.54 / $161.62 / $242.43