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Minnesota 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
$128.82 / $138.04 / $138.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $323.59 / $512.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $512.86 / $1,230.27
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $489.78 / $954.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $239.88 / $426.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $2,951.21 / $4,265.80