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North Carolina 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
$158.49 / $562.34 / $7,585.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $147.91 / $371.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $186.21 / $354.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $208.93 / $346.74
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $302.00 / $309.03
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $181.97 / $245.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $812.83 / $1,949.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $162.18 / $316.23
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $933.25 / $19,498.45
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,380.38 / $1,380.38