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Oklahoma 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
$501.19 / $2,398.83 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $144.54 / $263.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $213.80 / $245.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $213.80 / $1,862.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $181.97 / $1,380.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $707.95 / $1,659.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $158.49 / $223.87