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Connecticut 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
$1,380.38 / $4,897.79 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $870.96 / $1,819.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,760.83 / $12,302.69 / $13,803.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,174.90 / $1,621.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,148.15 / $1,698.24
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $812.83 / $812.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,754.40 / $8,709.64 / $11,748.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $891.25 / $1,513.56