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Missouri 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
$141.41 / $2,832.00 / $7,365.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.67 / $136.69 / $242.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $1,963.00 / $4,958.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.91 / $182.26 / $271.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.33 / $211.83 / $335.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.11 / $223.19 / $2,019.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.47 / $209.33 / $1,389.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.00 / $815.00 / $1,300.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.97 / $187.83 / $303.45