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Idaho 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
$1,407.00 / $4,500.00 / $7,045.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.11 / $202.09 / $239.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.22 / $219.26 / $262.04
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.09 / $213.05 / $267.68
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.17 / $271.70 / $310.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.63 / $243.99 / $289.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,800.00 / $8,244.00 / $9,193.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.32 / $231.88 / $295.12