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Nebraska rates for HCPCS Q4227

AmnioCore Amniotic Membrane EX SHEE 2 CM X 12 CM

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,165.39 / $1,172.56 / $1,172.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,172.56 / $1,172.56 / $1,289.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,128.33 / $1,327.45 / $1,327.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.83 / $1,261.07 / $1,327.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,172.56 / $1,172.56 / $1,172.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.75 / $1,246.56 / $1,836.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.47 / $1,431.00 / $2,214.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,165.39 / $1,165.39 / $1,242.89
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.75 / $1,431.00 / $1,836.45
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.75 / $1,398.47 / $1,836.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,113.93 / $1,172.56 / $1,289.82