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Texas 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
$239.37 / $2,500.00 / $7,495.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,249.51 / $2,515.25 / $4,851.99
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.38 / $111.38 / $263.64
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$620.97 / $16,394.00 / $16,394.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.57 / $238.20 / $366.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.57 / $238.20 / $366.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.00 / $2,100.00 / $4,562.00