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Nationwide rates for HCPCS 15100

Split-thickness autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children (except 15050)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$766.00 / $2,511.94 / $6,917.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$633.74 / $785.28 / $1,395.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,234.00 / $3,931.00 / $7,344.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.82 / $851.85 / $1,393.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,169.61 / $1,208.22 / $1,450.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$695.78 / $1,000.99 / $1,648.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,413.34 / $3,214.85 / $5,747.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.28 / $986.02 / $1,715.19