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Florida 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
$140.28 / $3,258.00 / $10,802.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.02 / $143.09 / $196.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $323.00 / $323.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.37 / $175.52 / $270.79
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,144.00 / $2,674.00 / $6,696.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.05 / $133.62 / $196.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.39 / $183.84 / $246.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.00 / $1,950.00 / $4,970.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.03 / $158.84 / $271.97
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.90 / $122.56 / $122.56