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North Dakota 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 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $107.15 / $154.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $234.42 / $281.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $239.88 / $309.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $144.54 / $323.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $208.93 / $1,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $5,128.61 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $181.97 / $251.19