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Kentucky 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
$104.70 / $180.28 / $7,909.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,643.00 / $3,346.00 / $8,517.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.22 / $125.69 / $146.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.00 / $186.21 / $186.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $597.00 / $1,895.00