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Delaware 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
$4,073.80 / $4,073.80 / $7,244.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $851.14 / $1,862.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $676.08 / $1,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $724.44 / $1,479.11