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Nebraska rates for HCPCS Q4175

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.72 / $91.54 / $91.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.54 / $91.54 / $100.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.09 / $103.63 / $103.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.81 / $98.45 / $103.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.54 / $91.54 / $91.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.44 / $82.27 / $105.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.72 / $108.35 / $142.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.72 / $67.72 / $211.87
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.70 / $82.27 / $103.57
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.70 / $82.27 / $105.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.39 / $91.54 / $91.54