go back

Delaware 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
$1,607.48 / $6,907.00 / $9,705.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$625.48 / $768.57 / $768.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.59 / $824.29 / $1,171.78
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,263.07 / $6,263.07 / $6,263.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$701.25 / $829.54 / $1,268.95