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North Carolina 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
$114.82 / $416.87 / $7,585.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $112.20 / $275.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $138.04 / $269.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $158.49 / $257.04
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $229.09 / $234.42
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $131.83 / $177.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $812.83 / $1,949.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $120.23 / $234.42
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $891.25 / $19,498.45
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $1,023.29