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Michigan 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
$141.25 / $2,041.74 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $109.65 / $218.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $162.18 / $162.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $162.18 / $162.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $131.83 / $436.52
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $2,041.74 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $134.90 / $177.83
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $117.49 / $416.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $1,258.93 / $2,041.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $134.90 / $186.21