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New Jersey 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
$2,951.21 / $5,888.44 / $10,715.19
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $6,165.95 / $9,549.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $5,128.61 / $8,709.64