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Nebraska rates for HCPCS Q4229

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.31 / $461.36 / $461.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.36 / $461.36 / $507.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$443.95 / $522.29 / $522.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.25 / $496.18 / $522.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$461.36 / $461.36 / $461.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.36 / $601.86 / $1,075.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.48 / $478.95 / $644.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.31 / $330.31 / $1,667.22
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$396.37 / $601.86 / $772.39
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.26 / $601.86 / $781.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.29 / $461.36 / $692.04