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Oregon 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)

Facilitymedian $295 · 10th–90th $182–$5,0120%20%10th90th$295Professionalmedian $288 · 10th–90th $224–$3630%10%20%10th90th$288$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $363.08 / $6,606.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $281.84 / $363.08
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$144.54 / $218.78 / $371.54
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $295.12 / $302.00
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$144.54 / $213.80 / $331.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$389.05 / $4,073.80 / $6,165.95