go back

Vermont rates for HCPCS 15150

Tissue cultured skin autograft, trunk, arms, legs; first 25 sq cm or less

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $645.65 / $1,584.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $933.25 / $1,862.09
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,148.15 / $1,148.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $891.25 / $1,659.59