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Georgia 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
$1,071.52 / $4,365.16 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $741.31 / $1,348.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $2,754.23 / $6,025.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $851.14 / $1,380.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $741.31 / $1,548.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $954.99 / $1,584.89
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,071.52 / $1,174.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $5,754.40 / $8,511.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $933.25 / $1,819.70