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Oklahoma 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
$838.00 / $3,165.00 / $8,400.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,878.46 / $6,117.46 / $9,735.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.96 / $297.99 / $3,790.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.51 / $1,760.00 / $3,790.62