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Kentucky 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
$134.90 / $1,000.00 / $3,890.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $2,137.96 / $2,884.03
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $165.96 / $194.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $245.47 / $1,318.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $602.56 / $3,162.28