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Oklahoma 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
$839.54 / $3,165.00 / $8,400.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,374.38 / $8,476.95 / $13,489.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$706.88 / $960.62 / $3,790.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.51 / $1,760.00 / $3,790.62