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North Dakota 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
$160.38 / $173.74 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.79 / $160.38 / $215.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.19 / $354.42 / $416.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.13 / $362.09 / $510.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.38 / $215.91 / $481.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.07 / $318.73 / $1,168.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.64 / $276.98 / $445.75