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Arizona 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
$1,445.44 / $3,090.30 / $6,309.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $117.49 / $331.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $891.25 / $1,348.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $97.72 / $177.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $120.23 / $223.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $131.83 / $1,905.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $134.90 / $1,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $1,230.27 / $2,187.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $114.82 / $162.18