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Nebraska rates for HCPCS Q4208

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$384.00 / $384.00 / $384.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.00 / $384.00 / $408.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$408.00 / $408.00 / $408.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.00 / $408.00 / $408.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$384.00 / $576.00 / $729.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.00 / $480.00 / $494.40
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.40 / $480.40 / $480.40
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.40 / $480.40 / $480.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.00 / $480.00 / $494.40