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Delaware 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
$3,949.00 / $3,949.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$636.42 / $636.42 / $700.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607.79 / $689.90 / $980.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$628.38 / $765.47 / $1,080.75