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Georgia 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
$275.42 / $3,801.89 / $7,413.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,290.87 / $4,786.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $309.03 / $602.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $3,090.30 / $5,370.32