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Tennessee 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
$636.88 / $2,303.00 / $7,602.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,610.00 / $2,859.00 / $3,710.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,331.88 / $3,537.80 / $16,394.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,130.00 / $2,297.00 / $4,099.00