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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
$625.00 / $2,876.00 / $7,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.69 / $152.79 / $163.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.96 / $204.06 / $242.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.35 / $210.06 / $1,676.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.34 / $175.96 / $1,389.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.00 / $634.00 / $1,883.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.97 / $167.46 / $245.90