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Kansas 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
$1,700.00 / $4,387.00 / $10,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$625.61 / $707.28 / $1,073.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$887.43 / $1,044.04 / $1,138.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$442.00 / $442.00 / $442.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.06 / $1,025.01 / $1,275.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$683.71 / $1,000.00 / $9,451.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.65 / $943.41 / $5,854.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,779.00 / $3,647.00 / $6,988.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.25 / $847.18 / $1,196.48