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Nebraska rates for HCPCS Q4143

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.92 / $33.92 / $33.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.92 / $33.92 / $37.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.56 / $38.40 / $3,549.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.47 / $38.39 / $38.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.92 / $33.92 / $33.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.92 / $40.70 / $52.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.53 / $55.97 / $66.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.92 / $33.92 / $37.31
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.18 / $40.70 / $52.24
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.18 / $40.70 / $52.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.22 / $33.92 / $33.96