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Nebraska rates for HCPCS 15005

Prep Site F/S/N/H/F/G/M/D Gt Addl 100 Sq Cm/1pct

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,506.15 / $5,463.36 / $13,841.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$898.23 / $1,181.41 / $2,285.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.81 / $184.29 / $1,242.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$40.57 / $40.57 / $40.57
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.05 / $252.62 / $364.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.00 / $1,775.00 / $4,406.00