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South 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
$125.89 / $4,897.79 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $107.15 / $234.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $1,023.29 / $1,862.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $128.82 / $208.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $134.90 / $181.97
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $229.09 / $229.09
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $128.82 / $173.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $1,202.26 / $3,548.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $114.82 / $208.93