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Nebraska rates for HCPCS 15050

Pinch graft, single or multiple, to cover small ulcer, tip of digit, or other minimal open area (except on face), up to defect size 2 cm diameter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,653.00 / $5,463.36 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.61 / $546.37 / $2,406.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,442.56 / $3,212.63 / $6,214.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.32 / $772.54 / $1,087.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.00 / $1,251.50 / $1,619.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.07 / $860.82 / $1,775.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$688.93 / $1,213.83 / $4,336.64
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$584.72 / $1,015.27 / $1,515.48
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$782.00 / $1,117.33 / $1,600.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.00 / $1,775.00 / $4,406.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$688.93 / $1,175.56 / $1,411.27