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Kansas 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
$1,361.00 / $3,506.00 / $10,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.41 / $157.44 / $233.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.20 / $272.00 / $292.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.00 / $330.00 / $330.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.43 / $247.49 / $305.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.62 / $238.66 / $2,819.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.20 / $228.62 / $1,516.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.00 / $550.00 / $1,769.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.73 / $206.41 / $287.42