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Kansas 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
$194.98 / $3,630.78 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $114.82 / $208.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $177.83 / $194.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $331.13 / $331.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $154.88 / $234.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $165.96 / $2,818.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $154.88 / $1,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $537.03 / $1,905.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $138.04 / $181.97