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Rhode Island 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
$1,518.41 / $1,543.03 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.45 / $148.63 / $177.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.97 / $163.50 / $249.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.43 / $189.28 / $313.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.00 / $1,401.00 / $4,915.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.97 / $207.47 / $304.19