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Nebraska rates for HCPCS Q4210

Axolotl Graft or Axolotl DualGraft, per sq cm

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$864.00 / $864.00 / $1,080.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$960.00 / $1,144.80 / $2,400.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,144.80 / $1,144.80 / $2,170.88
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,144.80 / $1,144.80 / $2,170.88