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Nebraska rates for HCPCS 15157

Tissue cultured skin autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $3,801.89 / $12,589.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $177.83 / $831.76
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
$141.25 / $245.47 / $338.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $371.54 / $512.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $295.12 / $1,230.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $354.81 / $1,513.56
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $389.05 / $524.81
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $371.54 / $478.63
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
$194.98 / $316.23 / $407.38