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Massachusetts 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 $2,455 · 10th–90th $126–$4,8980%10%10th90th$2,455$1.0$10.0$100.0$1.0K$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
$141.25 / $3,019.95 / $4,897.79
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$257.04 / $2,041.74 / $45,708.82
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$125.89 / $125.89 / $288.40
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$102.33 / $144.54 / $3,890.45
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $2,041.74 / $3,467.37
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$257.04 / $2,041.74 / $45,708.82
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $1,862.09 / $2,818.38