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Kansas 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
$1,700.00 / $4,387.00 / $10,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.44 / $627.91 / $939.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.20 / $977.88 / $1,066.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$442.00 / $442.00 / $442.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$609.79 / $912.75 / $1,194.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.98 / $897.12 / $4,330.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$727.71 / $826.13 / $5,127.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$871.00 / $2,081.00 / $3,842.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$705.51 / $818.94 / $1,072.53