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Oregon 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
$158.49 / $263.03 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $117.49 / $281.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $194.98 / $302.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $218.78 / $281.84
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $165.96 / $281.84
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $223.87 / $302.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $223.87 / $239.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $169.82 / $263.03
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $218.78 / $302.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $239.88 / $323.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $4,073.80 / $6,165.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $213.80 / $309.03