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North Carolina 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
$120.41 / $340.44 / $7,278.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.41 / $281.91 / $364.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,728.00 / $3,733.00 / $6,543.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$620.97 / $620.97 / $16,394.00