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Arkansas 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
$144.54 / $794.33 / $2,041.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $107.15 / $162.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $114.82 / $154.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $446.68 / $446.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $125.89 / $181.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $346.74 / $851.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $125.89 / $194.98