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Nebraska rates for HCPCS Q4135

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.00 / $26.00 / $26.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.00 / $26.00 / $65.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.00 / $43.94 / $50.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $0.85
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.85 / $0.85 / $0.85
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $0.85