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Colorado 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
$1,226.00 / $4,955.00 / $10,651.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,434.00 / $5,126.00 / $9,729.00
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$750.81 / $984.89 / $1,230.22
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$819.98 / $1,090.57 / $1,623.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,463.00 / $4,182.00 / $7,179.00