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Nebraska rates for HCPCS Q4258

Enverse, per sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.41 / $89.75 / $89.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.75 / $89.75 / $98.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.44 / $101.60 / $3,549.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.62 / $96.51 / $101.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.75 / $89.75 / $89.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.70 / $89.75 / $110.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.17 / $135.97 / $164.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.81 / $82.41 / $1,667.54
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.70 / $86.18 / $110.60
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.70 / $98.90 / $110.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.26 / $89.75 / $98.73