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Nebraska rates for HCPCS Q4163

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.18 / $182.18 / $182.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.18 / $182.18 / $200.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.31 / $206.25 / $206.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.94 / $206.25 / $206.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.18 / $182.18 / $182.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.18 / $218.62 / $280.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.64 / $300.60 / $377.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.18 / $182.18 / $560.97
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.69 / $218.62 / $273.27
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.34 / $218.62 / $280.56
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.80 / $338.80 / $338.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.07 / $182.18 / $200.40