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Arkansas rates for HCPCS 15150

Tissue cultured skin autograft, trunk, arms, legs; first 25 sq cm or less

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $1,071.52 / $2,041.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $616.60 / $758.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $1,737.80 / $2,398.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $691.83 / $912.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $446.68 / $446.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $707.95 / $1,047.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $1,445.44 / $4,365.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $724.44 / $1,122.02