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Nevada 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
$111.53 / $1,706.00 / $4,473.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.00 / $333.00 / $333.00
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.37 / $126.66 / $182.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.00 / $1,427.00 / $1,998.00