go back

Michigan 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
$302.00 / $2,884.03 / $4,897.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $38.02 / $190.55
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $2,884.03 / $4,897.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $3,235.94 / $6,309.57