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Nebraska rates for HCPCS Q4173

Palingen Or Palingen Xplus Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349.02 / $349.02 / $356.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.02 / $349.02 / $383.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$335.85 / $395.12 / $395.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.36 / $395.12 / $403.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349.01 / $349.01 / $349.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.01 / $453.60 / $590.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$356.55 / $588.30 / $858.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.55 / $356.55 / $1,139.54
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$427.86 / $432.61 / $555.17
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.86 / $441.27 / $590.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.57 / $349.02 / $383.92