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Vermont 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
Professional
Modifier
Low / Median / High Price
$153.32 / $170.47 / $399.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.09 / $205.75 / $352.20
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.32 / $220.63 / $352.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.91 / $221.21 / $643.08