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Nebraska rates for HCPCS Q4256

Mlg complet, per sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$735.05 / $735.05 / $813.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.05 / $735.05 / $808.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$748.93 / $832.14 / $3,549.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$790.52 / $832.13 / $920.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$735.05 / $735.05 / $735.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.05 / $1,122.03 / $1,459.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$813.21 / $1,308.39 / $1,585.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$813.21 / $813.21 / $2,215.34
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$975.86 / $1,122.03 / $1,459.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$975.86 / $1,122.03 / $1,459.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$698.30 / $735.05 / $896.76