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Nebraska rates for HCPCS 15116

Epidermal Agrft F/S/N/H/F/G/M/D Gt Ea 100 Cm

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
$3,335.87 / $4,387.57 / $8,486.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.34 / $252.14 / $1,242.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.17 / $341.96 / $503.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.00 / $1,775.00 / $4,406.00