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Arizona rates for HCPCS 15040

Harvest of skin for tissue cultured skin autograft, 100 sq cm or less

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,389.00 / $2,912.00 / $6,483.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$587.35 / $2,283.06 / $3,616.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.57 / $246.76 / $2,421.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,578.00 / $2,522.00 / $5,029.00