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Nebraska rates for HCPCS Q4252

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.00 / $53.00 / $53.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.00 / $53.00 / $58.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.00 / $60.00 / $60.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.00 / $60.00 / $60.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.00 / $53.00 / $53.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.00 / $118.93 / $343.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.00 / $90.10 / $663.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.00 / $53.00 / $965.94
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.74 / $118.93 / $152.63
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.60 / $115.45 / $211.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.35 / $53.00 / $79.50