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Massachusetts 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
$116.14 / $2,079.00 / $3,625.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.12 / $141.00 / $231.16
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.74 / $941.10 / $4,142.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.52 / $265.72 / $1,142.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.32 / $238.32 / $420.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.91 / $261.80 / $588.12
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.44 / $334.26 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.50 / $234.82 / $324.14
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.70 / $389.71 / $525.61
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $1,818.00 / $12,000.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.74 / $321.52 / $1,516.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $1,818.00 / $2,733.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.89 / $247.69 / $451.03