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Kentucky 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
$595.62 / $787.00 / $5,320.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,359.00 / $2,292.00 / $4,229.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$671.47 / $817.61 / $954.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,211.27 / $1,211.27 / $1,587.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$523.00 / $1,450.00 / $4,039.00