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Oklahoma 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
$501.19 / $2,398.83 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $109.65 / $190.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $154.88 / $181.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $158.49 / $1,862.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $134.90 / $1,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $707.95 / $1,659.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $117.49 / $165.96