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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
$118.50 / $400.00 / $3,740.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,041.00 / $1,968.00 / $2,894.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.04 / $165.66 / $193.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.42 / $245.42 / $245.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $597.00 / $1,895.00