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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
$812.83 / $3,019.95 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $831.76 / $1,995.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $5,128.61 / $10,964.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $912.01 / $1,698.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $2,570.40 / $7,585.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,023.29 / $2,238.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $2,951.21 / $6,456.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $891.25 / $1,621.81