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Nebraska rates for HCPCS Q4115

AlloSkin, per sq cm (add-on, list separately in addition to primary procedure)

Facilitymedian $14 · 10th–90th $13$1910%20%10th90th$14Professionalmedian $13 · 10th–90th $12$210%20%40%10th90th$13$10.0$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $12.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.88 / $21.38
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $14.45 / $14.45
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $14.45
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $190.55 / $229.09
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $17.38 / $125.89
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $20.89 / $28.18
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $14.45 / $15.85
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $17.38 / $22.91
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $204.17 / $309.03
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $22.91 / $36.31
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $16.22
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $20.42 / $102.33
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $120.23 / $125.89