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Vermont 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
Professional
Modifier
Low / Median / High Price
$167.04 / $180.78 / $435.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.00 / $224.25 / $393.90
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.00 / $245.57 / $393.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.94 / $247.39 / $719.19