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Arkansas rates for HCPCS 15157

Tissue cultured skin autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.37 / $803.00 / $2,812.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.63 / $180.84 / $258.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.57 / $211.19 / $234.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$447.90 / $447.90 / $447.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.46 / $194.58 / $289.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.00 / $337.00 / $768.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.06 / $192.93 / $307.58