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Alabama 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
$676.71 / $1,100.00 / $1,896.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$599.67 / $716.16 / $913.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,607.25 / $3,164.02 / $4,256.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.68 / $722.00 / $851.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$543.59 / $764.84 / $1,648.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.00 / $1,825.00 / $3,360.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$654.41 / $806.82 / $988.88