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Nebraska rates for HCPCS Q4100

Skin substitute, not otherwise specified

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.50 / $249.50 / $249.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,452.73 / $3,549.39 / $6,139.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.40 / $125.40 / $125.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.65 / $100.00 / $100.00