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Oregon 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 $1,698 · 10th–90th $1,000–$6,0260%20%10th90th$1,698Professionalmedian $1,047 · 10th–90th $631–$2,1380%10%20%10th90th$1,047$100.0$500.0$2.0K$10.0K$50.0K$200.0K$1.0M

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
$1,288.25 / $1,949.84 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $831.76 / $1,995.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$891.25 / $1,479.11 / $2,344.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,584.89 / $2,187.76
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$794.33 / $1,258.93 / $2,089.30
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,096.48 / $1,513.56 / $2,238.72
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,621.81 / $1,737.80
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $1,230.27 / $1,995.26
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $1,479.11 / $2,187.76
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,570.88 / $6,309.57 / $7,762.47
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,230.27 / $1,778.28 / $2,454.71
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,454.71 / $6,309.57 / $8,912.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$933.25 / $1,445.44 / $2,187.76