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Connecticut rates for HCPCS 15156

Tissue cultured skin autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; additional 1 sq cm to 75 sq cm (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.58 / $4,228.00 / $8,031.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.73 / $194.64 / $371.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,315.00 / $3,788.00 / $4,735.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.91 / $242.31 / $422.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.72 / $231.06 / $335.92
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.59 / $204.22 / $213.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,347.00 / $3,983.00 / $6,832.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.08 / $207.59 / $323.97