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South Carolina 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
$152.86 / $3,776.00 / $9,727.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$584.09 / $1,063.98 / $1,835.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.29 / $170.82 / $219.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.00 / $1,221.00 / $3,585.00