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Nebraska rates for HCPCS Q4225

AmnioBind or DermaBind TL, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,370.73 / $1,427.45 / $1,427.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,427.45 / $1,427.45 / $1,570.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,454.42 / $1,616.02 / $3,549.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,474.21 / $1,551.80 / $1,616.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,427.45 / $1,427.45 / $1,427.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,427.45 / $1,664.50 / $2,189.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.84 / $1,664.50 / $2,604.39
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,370.73 / $1,370.73 / $1,751.02
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,644.88 / $1,664.50 / $2,136.11
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,644.88 / $1,664.50 / $2,189.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,470.32 / $1,470.32 / $2,288.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,356.08 / $1,427.45 / $1,570.20