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Missouri 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
$627.91 / $3,214.00 / $7,365.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.12 / $606.98 / $1,047.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $1,963.00 / $4,958.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.16 / $715.36 / $1,133.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$603.73 / $853.50 / $1,387.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.44 / $954.34 / $5,764.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$608.05 / $915.78 / $5,127.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,123.00 / $2,054.00 / $3,004.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.47 / $769.25 / $1,306.93