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Colorado rates for HCPCS 15155

Tissue cultured skin autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 25 sq cm or less

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,226.00 / $4,955.00 / $10,651.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$646.35 / $745.97 / $981.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,427.00 / $7,478.00 / $13,989.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$822.77 / $1,038.98 / $1,611.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$710.84 / $899.90 / $1,195.09
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$732.46 / $908.48 / $1,193.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$789.98 / $1,098.07 / $1,564.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,527.00 / $8,586.00 / $15,893.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$789.60 / $1,012.01 / $1,649.59