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Georgia 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
$152.91 / $2,800.00 / $6,915.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.41 / $171.10 / $339.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$552.38 / $848.40 / $1,789.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.58 / $227.61 / $396.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.68 / $189.96 / $349.53
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.74 / $193.35 / $531.12
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.54 / $265.41 / $318.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$353.00 / $1,580.00 / $2,665.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.38 / $243.22 / $402.57