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Colorado rates for HCPCS 15101

Split-thickness autograft, trunk, arms, legs; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,440.00 / $5,503.00 / $10,651.00
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.14 / $182.66 / $273.99
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.09 / $191.79 / $361.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$730.00 / $1,464.00 / $3,011.00