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Nebraska rates for HCPCS Q4187

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.87 / $241.87 / $245.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.30 / $245.30 / $272.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.05 / $277.70 / $277.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.13 / $273.81 / $277.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.30 / $245.30 / $245.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.30 / $296.42 / $380.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.87 / $399.09 / $550.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.87 / $241.87 / $459.85
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$276.70 / $296.42 / $364.09
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.70 / $296.42 / $380.41
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503.40 / $503.40 / $503.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.04 / $245.30 / $367.95