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Nebraska rates for HCPCS Q4186

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.33 / $150.33 / $3,225.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.16 / $151.16 / $211.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.46 / $171.13 / $171.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.68 / $170.19 / $171.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.16 / $151.16 / $151.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.16 / $190.00 / $243.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.33 / $255.56 / $340.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.33 / $150.33 / $382.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.50 / $190.00 / $243.83
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.40 / $190.00 / $375.83
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.20 / $347.20 / $347.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.61 / $151.16 / $166.29