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Nebraska rates for HCPCS Q4177

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Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.00 / $144.00 / $144.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.00 / $144.00 / $153.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.00 / $153.00 / $153.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.00 / $153.00 / $153.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.00 / $216.00 / $273.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.00 / $180.00 / $198.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.18 / $216.18 / $216.18
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.18 / $216.18 / $216.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.80 / $190.80 / $297.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.00 / $180.00 / $180.00