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Massachusetts 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
$85.11 / $2,238.72 / $3,801.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $114.82 / $295.12
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $1,071.52 / $19,498.45
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $158.49 / $331.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $123.03 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $169.82 / $316.23
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $380.19 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $165.96 / $239.88
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $2,041.74 / $3,467.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $181.97 / $323.59
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $1,071.52 / $19,498.45
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $158.49 / $338.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $1,862.09 / $2,818.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $162.18 / $309.03