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Tennessee 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
$467.74 / $2,137.96 / $4,073.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $109.65 / $186.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $151.36 / $1,621.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $147.91 / $229.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $144.54 / $316.23
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $891.25 / $19,498.45
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,023.29 / $1,023.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $812.83 / $2,511.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $128.82 / $223.87