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Arizona 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
$1,582.00 / $2,933.00 / $6,483.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.12 / $618.75 / $1,043.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$587.35 / $2,283.06 / $3,616.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.26 / $577.67 / $671.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$577.22 / $675.46 / $1,266.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.76 / $735.60 / $2,965.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.50 / $710.50 / $4,641.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,283.00 / $2,399.00 / $4,850.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.72 / $683.91 / $964.07