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Ohio 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
$145.11 / $2,113.00 / $10,268.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.91 / $140.11 / $345.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$711.00 / $2,059.00 / $2,550.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.40 / $179.75 / $308.70
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.18 / $212.87 / $212.87
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.38 / $167.38 / $175.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.63 / $188.68 / $315.01
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.76 / $203.39 / $307.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.78 / $188.49 / $258.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$444.00 / $975.00 / $2,914.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.97 / $179.40 / $314.62