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Florida 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
$146.06 / $3,048.44 / $10,632.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.00 / $494.00 / $494.00
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,297.33 / $1,383.82 / $1,496.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.00 / $1,950.00 / $4,970.00