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Nebraska rates for HCPCS Q4217

WoundFix, BioWound, WoundFix Plus, BioWound Plus, WoundFix Xplus or BioWound Xplus, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.00 / $318.00 / $318.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.00 / $318.00 / $349.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.01 / $360.01 / $360.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.00 / $360.00 / $360.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.00 / $318.00 / $318.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.00 / $421.21 / $687.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.00 / $540.60 / $1,749.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.51 / $318.00 / $1,452.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.21 / $381.60 / $556.29
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.21 / $421.21 / $1,074.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.10 / $318.00 / $349.80