go back

North Dakota 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
$623.12 / $690.24 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.12 / $623.12 / $848.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,273.63 / $1,401.05 / $1,648.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,013.29 / $1,509.74 / $2,091.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$623.12 / $826.21 / $1,869.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$727.71 / $1,199.95 / $4,641.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,025.00 / $5,025.00 / $5,025.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$732.62 / $1,296.74 / $1,663.83