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Kentucky 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
$104.71 / $1,000.00 / $3,890.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $107.15 / $199.53
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $2,137.96 / $2,884.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $117.49 / $169.82
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $125.89 / $147.91
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $141.25 / $165.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $186.21 / $1,318.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $141.25 / $758.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $602.56 / $3,162.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $128.82 / $199.53