go back

Vermont 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
Professional
Modifier
Low / Median / High Price
$85.11 / $117.49 / $263.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $165.96 / $309.03
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $186.21 / $186.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $158.49 / $281.84