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Nebraska rates for HCPCS 15151

Tissue cultured skin autograft, trunk, arms, legs; additional 1 sq cm to 75 sq cm (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $3,801.89 / $12,589.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $123.03 / $549.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $4,365.16 / $8,511.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $162.18 / $229.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $239.88 / $338.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $199.53 / $1,230.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $239.88 / $1,000.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $257.04 / $346.74
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $245.47 / $323.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,548.82 / $4,570.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $213.80 / $269.15