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Kansas 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
$1,700.00 / $4,387.00 / $10,439.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$442.00 / $442.00 / $442.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$692.02 / $1,010.00 / $4,330.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$825.00 / $2,081.00 / $3,918.00