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Massachusetts 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
$116.73 / $2,079.00 / $3,625.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.45 / $140.37 / $205.58
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$341.20 / $941.10 / $4,142.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.57 / $242.60 / $1,048.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.35 / $218.86 / $386.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.46 / $238.60 / $538.32
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.33 / $306.98 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.98 / $210.50 / $290.58
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.32 / $350.30 / $472.45
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $1,818.00 / $12,000.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.91 / $287.32 / $1,389.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $1,818.00 / $2,733.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.60 / $230.23 / $447.08