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Nebraska rates for HCPCS Q4226

MyOwn Skin, includes harvesting and preparation procedures, per sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,152.00 / $1,152.00 / $1,152.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,152.00 / $1,152.00 / $1,224.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.92 / $437.55 / $437.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.67 / $437.55 / $437.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,224.00 / $1,224.00 / $1,224.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.01 / $521.76 / $1,224.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$386.49 / $1,296.00 / $2,188.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,200.00 / $1,200.00 / $1,440.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$445.01 / $521.76 / $989.42
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.01 / $531.51 / $989.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,140.00 / $1,200.00 / $1,440.00