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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
$129.79 / $139.36 / $2,168.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $114.60 / $466.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$343.64 / $487.33 / $1,172.33
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.36 / $445.54 / $923.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.75 / $236.23 / $396.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$563.00 / $1,749.00 / $2,883.00