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Oklahoma 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
$794.33 / $2,570.40 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $630.96 / $1,122.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $7,943.28 / $12,882.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $831.76 / $1,047.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $870.96 / $3,981.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $776.25 / $5,128.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $1,995.26 / $3,981.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $660.69 / $912.01