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Wyoming 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
$647.48 / $647.94 / $713.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,135.00 / $1,513.00 / $1,668.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$736.85 / $948.44 / $1,306.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $1,275.00 / $5,606.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.80 / $1,218.00 / $2,197.86