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Louisiana 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
$194.13 / $1,230.00 / $3,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.16 / $179.73 / $217.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,795.15 / $4,058.90 / $5,701.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.34 / $180.74 / $229.92
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.18 / $176.35 / $264.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.00 / $513.00 / $1,226.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.34 / $167.98 / $297.58