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North Dakota 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
$146.35 / $155.37 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.33 / $144.25 / $197.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.89 / $325.49 / $382.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.26 / $340.09 / $453.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.35 / $194.08 / $439.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.35 / $285.02 / $1,072.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.33 / $249.28 / $398.59