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Missouri 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
$157.44 / $2,832.00 / $7,365.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.91 / $152.19 / $268.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $1,963.00 / $4,958.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.27 / $198.66 / $308.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.20 / $231.31 / $358.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.72 / $243.81 / $2,019.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.21 / $234.14 / $1,516.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.00 / $815.00 / $1,300.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.10 / $208.75 / $337.14