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Oregon rates for HCPCS 15040

Harvest of skin for tissue cultured skin autograft, 100 sq cm or less

Facilitymedian $501 · 10th–90th $219–$6,0260%20%10th90th$501Professionalmedian $282 · 10th–90th $214–$6610%20%10th90th$282$100.0$500.0$2.0K$10.0K$50.0K$200.0K$1.0M

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $588.84 / $7,943.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $281.84 / $660.69
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$154.88 / $346.74 / $602.56
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$316.23 / $501.19 / $524.81
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$138.04 / $302.00 / $588.84
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,570.88 / $5,888.44 / $7,413.10
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,454.71 / $6,309.57 / $8,912.51