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Nebraska rates for HCPCS Q4234

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.83 / $553.94 / $553.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.94 / $553.94 / $609.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$533.04 / $627.11 / $627.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.53 / $595.75 / $627.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$553.94 / $553.94 / $553.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.85 / $381.79 / $553.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.83 / $331.21 / $1,408.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.83 / $194.83 / $1,717.58
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$290.85 / $297.50 / $382.70
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.79 / $297.50 / $864.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.92 / $553.94 / $609.33