go back

Indiana 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
$151.36 / $3,801.89 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $107.15 / $263.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $2,187.76 / $3,388.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $151.36 / $223.87
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $104.71 / $112.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $154.88 / $194.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $131.83 / $190.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $2,290.87 / $7,413.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $117.49 / $186.21