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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)

Facilitymedian $2,818 · 10th–90th $126–$9,3330%5%10%10th90th$2,818$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$125.89 / $2,951.21 / $9,332.54
AvMed
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $3,630.78 / $12,302.69
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$186.21 / $186.21 / $489.78
Florida Blue
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,288.25 / $1,380.38 / $1,513.56
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $1,548.82 / $3,890.45