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Nevada 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 $178–$5,8880%10%20%10th90th$2,818Professionalmedian $166 · 10th–90th $2–$3090%10%20%10th90th$166$2.0$10.0$50.0$200.0$1.0K$5.0K

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
$177.83 / $2,818.38 / $5,888.44
Hometown Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.55 / $162.18 / $309.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $1,047.13 / $2,041.74