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California 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
$2,398.83 / $6,456.54 / $16,982.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $6,165.95 / $13,489.63
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $794.33 / $7,762.47
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $912.01 / $1,258.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $977.24 / $1,698.24
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,623.41 / $28,840.32 / $28,840.32
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $912.01 / $1,380.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $4,365.16 / $10,000.00