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Florida 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
$152.41 / $3,258.00 / $10,802.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.09 / $152.91 / $218.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $323.00 / $323.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.03 / $187.28 / $296.08
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,144.00 / $2,674.00 / $6,696.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.63 / $146.86 / $218.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.76 / $214.88 / $280.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.00 / $1,950.00 / $4,970.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.77 / $171.74 / $303.27
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.11 / $136.34 / $136.34