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Colorado rates for HCPCS 15152

Tissue cultured skin autograft, trunk, arms, legs; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$915.00 / $3,889.00 / $9,872.00
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.24 / $188.50 / $233.02
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.24 / $208.39 / $296.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$658.00 / $1,464.00 / $3,011.00