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Alaska rates for HCPCS 15110

Epidermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,061.80 / $7,340.00 / $13,413.92
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,478.71 / $4,870.18 / $5,603.74
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,478.71 / $4,870.18 / $5,603.74