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Kentucky 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
$120.23 / $1,513.56 / $5,495.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $2,398.83 / $4,365.16
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $144.54 / $169.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $213.80 / $1,659.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $1,445.44 / $5,248.07