go back

Louisiana 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
$295.12 / $1,288.25 / $3,890.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $117.49 / $190.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $2,041.74 / $5,248.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $131.83 / $151.36
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $141.25 / $199.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $512.86 / $1,258.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $123.03 / $190.55