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Nebraska rates for HCPCS Q4181

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

Insurance Carrier
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.56 / $199.56 / $199.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.17 / $195.17 / $195.17
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.17 / $195.17 / $195.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.58 / $199.56 / $199.56