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Nebraska rates for HCPCS Q4148

Neox Cord 1K, Neox Cord RT, or Clarix Cord 1K, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.80 / $123.80 / $126.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.80 / $123.80 / $136.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.14 / $140.16 / $140.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.15 / $140.16 / $142.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.80 / $123.80 / $123.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.80 / $154.12 / $197.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.06 / $214.30 / $263.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.06 / $126.06 / $309.66
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.36 / $154.12 / $197.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.36 / $154.12 / $197.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.61 / $123.80 / $136.18