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Minnesota 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
$134.90 / $144.54 / $144.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $147.91 / $295.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $363.08 / $562.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $338.84 / $549.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $537.03 / $1,288.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $436.52 / $691.83
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $512.86 / $1,023.29
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $371.54 / $588.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $245.47 / $436.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $302.00 / $1,071.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $2,951.21 / $4,265.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $281.84 / $549.54