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Washington, DC 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
$852.95 / $3,575.00 / $4,601.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$987.52 / $1,918.40 / $2,284.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$808.00 / $1,171.00 / $26,408.00