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Wyoming 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
$141.25 / $162.18 / $338.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $380.19 / $416.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $208.93 / $295.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $295.12 / $3,090.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $288.40 / $562.34