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Nebraska rates for HCPCS Q4236

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$449.41 / $449.41 / $483.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.41 / $449.41 / $494.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.45 / $508.77 / $508.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.32 / $508.76 / $547.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$449.41 / $449.41 / $449.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.41 / $699.51 / $973.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$483.65 / $822.21 / $1,944.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.72 / $483.65 / $1,560.53
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$579.26 / $580.38 / $920.40
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.26 / $699.51 / $1,193.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.94 / $449.41 / $1,560.53