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Colorado 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
$1,226.00 / $4,955.00 / $10,651.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.58 / $647.48 / $848.16
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,434.00 / $5,126.00 / $9,729.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$721.26 / $906.39 / $1,416.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$671.62 / $821.64 / $1,053.69
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$647.48 / $848.16 / $1,039.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.99 / $963.26 / $1,372.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,349.00 / $3,397.00 / $6,686.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$731.67 / $928.74 / $1,582.24