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New York 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
$199.53 / $3,162.28 / $8,128.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $4,786.30 / $10,232.93
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $1,698.24 / $6,165.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $1,659.59 / $50,118.72
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $141.25 / $446.68
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $3,981.07 / $8,317.64
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $131.83 / $457.09