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Nebraska rates for HCPCS Q4222

Progenamatrix Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.55 / $145.49 / $145.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.49 / $145.49 / $160.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.00 / $164.71 / $164.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.18 / $156.47 / $164.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.49 / $145.49 / $145.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.40 / $163.11 / $209.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.80 / $204.02 / $242.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.55 / $127.55 / $216.07
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.34 / $163.11 / $209.32
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.34 / $163.11 / $209.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.22 / $145.49 / $160.04