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Connecticut 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
$223.87 / $4,570.88 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $141.25 / $316.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $3,801.89 / $4,786.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $204.17 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $177.83 / $251.19
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $169.82 / $169.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $3,890.45 / $6,760.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $138.04 / $223.87