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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
$161.61 / $164.70 / $177.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.00 / $383.00 / $416.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.51 / $210.01 / $293.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.00 / $293.00 / $3,239.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.75 / $316.60 / $561.92