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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)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,150.00 / $2,472.00 / $4,730.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$510.00 / $510.00 / $510.00
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.53 / $169.65 / $301.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.00 / $1,427.00 / $1,998.00