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Minnesota 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
$97.72 / $107.15 / $107.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $107.15 / $251.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $263.03 / $407.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $251.19 / $407.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $407.38 / $954.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $323.59 / $501.19
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $389.05 / $758.58
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $275.42 / $436.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $177.83 / $331.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $223.87 / $776.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $2,951.21 / $4,265.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $204.17 / $398.11