go back

Nebraska rates for HCPCS Q4161

bio-ConneKt wound matrix, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,590.54 / $1,590.54 / $1,653.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,590.54 / $1,590.54 / $1,749.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,530.55 / $1,800.65 / $1,800.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,710.61 / $1,800.65 / $1,872.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,590.54 / $1,590.54 / $1,590.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.24 / $1,590.54 / $2,854.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.77 / $2,224.39 / $3,142.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,653.82 / $1,653.82 / $2,878.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.24 / $2,224.39 / $2,854.63
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.24 / $1,984.58 / $2,854.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,511.01 / $1,590.54 / $1,853.66