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Nebraska rates for HCPCS Q4261

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$579.07 / $579.07 / $579.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.07 / $579.07 / $615.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,452.73 / $3,549.39 / $6,139.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$615.26 / $615.26 / $615.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.26 / $615.26 / $615.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$579.07 / $868.61 / $1,100.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$723.84 / $723.84 / $796.22
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$869.33 / $869.33 / $869.33
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$869.33 / $869.33 / $869.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.65 / $723.84 / $724.22