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Indiana 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
$933.25 / $4,897.79 / $7,244.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $616.60 / $1,513.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $8,317.64 / $10,471.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $741.31 / $1,148.15
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $630.96 / $645.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $794.33 / $1,122.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $724.44 / $1,071.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $3,715.35 / $6,456.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $676.08 / $1,096.48