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Oregon 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
$977.24 / $1,621.81 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $660.69 / $1,584.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,174.90 / $1,862.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,380.38 / $1,737.80
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $977.24 / $1,737.80
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,258.93 / $1,737.80
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,318.26 / $1,412.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,023.29 / $1,513.56
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $1,258.93 / $1,819.70
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $5,888.44 / $7,413.10
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,445.44 / $1,905.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $5,754.40 / $8,912.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,230.27 / $1,819.70