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New Jersey 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
$535.83 / $5,109.00 / $9,860.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.19 / $606.64 / $1,096.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.68 / $751.66 / $1,445.49
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$755.27 / $1,023.81 / $1,105.39
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,707.40 / $4,075.77 / $9,643.75
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.15 / $802.85 / $1,111.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,468.00 / $4,844.00 / $7,579.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.53 / $674.01 / $1,337.56