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Minnesota 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
$92.87 / $104.15 / $2,168.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $79.48 / $351.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.63 / $373.86 / $899.37
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.31 / $341.80 / $708.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.12 / $165.65 / $284.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$563.00 / $1,749.00 / $2,883.00