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Maine 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
Professional
Modifier
Low / Median / High Price
$85.11 / $107.15 / $295.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $147.91 / $204.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $162.18 / $263.03
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $154.88 / $257.04
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $158.49 / $446.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $162.18 / $239.88