go back

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
$744.86 / $1,110.71 / $3,109.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$565.47 / $684.57 / $954.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,755.26 / $1,755.26 / $2,106.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$629.79 / $833.56 / $926.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$447.90 / $447.90 / $447.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.46 / $765.47 / $1,047.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$590.00 / $1,431.00 / $3,109.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607.65 / $732.62 / $1,194.04