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Washington, DC 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
$117.49 / $2,754.23 / $4,073.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $109.65 / $295.12
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $426.58 / $1,258.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $120.23 / $281.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $245.47 / $316.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $549.54 / $5,888.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $123.03 / $257.04