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Nebraska rates for HCPCS 15040

Harvest of skin for tissue cultured skin autograft, 100 sq cm or less

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $5,011.87 / $12,589.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $4,365.16 / $8,511.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $380.19 / $3,019.95
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $478.63 / $724.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $3,162.28 / $8,128.31