go back

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
$838.00 / $3,165.00 / $8,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.29 / $643.52 / $718.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,374.38 / $8,476.95 / $13,489.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.45 / $825.00 / $984.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$639.80 / $868.75 / $3,790.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$608.07 / $768.60 / $5,127.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$640.00 / $2,268.00 / $4,012.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$586.10 / $732.62 / $1,062.24