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Tennessee 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
$623.00 / $2,303.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.31 / $667.89 / $822.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,610.00 / $2,800.00 / $3,710.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$567.41 / $736.93 / $1,145.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.28 / $795.22 / $1,848.76
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,965.40 / $3,149.11 / $16,394.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,540.72 / $4,991.60 / $6,067.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,130.00 / $2,260.00 / $4,035.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.11 / $778.88 / $1,635.11