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South Carolina 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
$110.45 / $3,776.00 / $9,727.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$611.99 / $1,136.88 / $1,952.01
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.36 / $127.02 / $164.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.00 / $1,221.00 / $3,585.00