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Iowa 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
$208.93 / $2,511.89 / $6,760.83
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $218.78 / $616.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $338.84 / $1,621.81
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $338.84 / $398.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $1,621.81 / $3,548.13