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Nebraska rates for HCPCS Q4170

Cygnus Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.31 / $39.31 / $41.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.31 / $39.31 / $43.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.83 / $44.51 / $44.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.28 / $44.50 / $47.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.31 / $39.31 / $39.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.31 / $71.17 / $684.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.55 / $69.97 / $103.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.55 / $41.55 / $817.89
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.86 / $533.69 / $684.90
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.86 / $71.17 / $533.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.34 / $39.31 / $43.24