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Minnesota 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
$676.08 / $794.33 / $794.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $3,630.78 / $8,317.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $3,019.95 / $7,244.36
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $2,884.03 / $5,623.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $1,258.93 / $3,311.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $4,265.80 / $6,760.83