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Alaska rates for HCPCS 15151

Tissue cultured skin autograft, trunk, arms, legs; additional 1 sq cm to 75 sq cm (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $5,888.44 / $14,125.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $144.54 / $537.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $371.54 / $398.11
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $120.23 / $758.58
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $316.23 / $407.38
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $436.52 / $512.86
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $147.91 / $758.58
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $169.82 / $371.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $295.12 / $446.68