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Nebraska rates for HCPCS 15135

Dermal Autograft F/S/N/H/F/G/M/D Gt 1st 100

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
$697.37 / $811.53 / $3,980.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,335.87 / $4,387.57 / $8,486.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$721.08 / $1,235.39 / $1,643.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,461.26 / $1,912.82 / $2,483.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$697.37 / $1,541.91 / $6,098.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,033.73 / $1,821.33 / $6,484.16
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,522.00 / $1,970.14 / $3,628.99
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,303.00 / $1,725.25 / $2,345.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,341.00 / $7,441.00 / $8,816.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,033.73 / $1,763.90 / $2,096.17