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Nebraska rates for HCPCS Q4257

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$652.66 / $915.09 / $915.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.09 / $915.09 / $1,006.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$932.37 / $1,035.97 / $3,549.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$701.94 / $984.16 / $1,035.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$915.09 / $915.09 / $915.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.00 / $633.61 / $915.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$652.66 / $1,076.89 / $1,305.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.94 / $652.66 / $1,667.22
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$556.00 / $593.92 / $783.20
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.00 / $731.58 / $783.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$869.34 / $915.09 / $1,006.60