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Florida 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
$613.07 / $3,401.00 / $10,802.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$534.16 / $644.25 / $933.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $1,951.00 / $2,322.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.52 / $784.24 / $1,219.25
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,855.00 / $12,742.00 / $23,031.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.58 / $615.29 / $943.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.98 / $602.16 / $951.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,637.00 / $8,267.00 / $12,989.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.82 / $724.06 / $1,301.33
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.78 / $609.88 / $609.88