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Nebraska rates for HCPCS Q4154

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.90 / $131.90 / $142.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.90 / $131.90 / $145.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.92 / $149.32 / $149.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.84 / $149.31 / $161.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.90 / $131.90 / $131.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.90 / $164.57 / $216.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.86 / $241.43 / $351.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.66 / $142.86 / $452.71
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.38 / $164.57 / $205.84
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.44 / $171.43 / $216.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.31 / $131.90 / $145.09