go back

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
$707.95 / $2,951.21 / $6,918.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $2,570.40 / $4,897.79
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $112.20 / $263.03
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,623.41 / $28,840.32 / $28,840.32
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $331.13 / $4,265.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $229.09 / $371.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $2,511.89 / $4,786.30