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New York 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
$977.24 / $3,162.28 / $8,128.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $4,786.30 / $10,232.93
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,698.24 / $6,165.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,659.59 / $50,118.72
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $831.76 / $2,454.71
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $3,981.07 / $8,317.64
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $758.58 / $2,290.87