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New Jersey 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)

Facilitymedian $5,495 · 10th–90th $1,738–$10,0000%10%10th90th$5,495Professionalmedian $851 · 10th–90th $589–$2,4550%10%10th90th$851$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,737.80 / $5,495.41 / $10,000.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $851.14 / $3,467.37
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $912.01 / $1,778.28
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,071.52 / $1,513.56
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,073.80 / $6,165.95 / $9,549.93
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $912.01 / $1,737.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,454.71 / $5,128.61 / $8,511.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $676.08 / $1,479.11