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Kentucky rates for HCPCS 15111

Epidermal autograft, trunk, arms, legs; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.85 / $400.00 / $3,740.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,041.00 / $1,968.00 / $2,894.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.26 / $117.22 / $136.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.66 / $173.66 / $173.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $597.00 / $1,895.00