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Tennessee 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
$205.06 / $2,133.00 / $7,602.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.00 / $147.00 / $1,599.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$461.73 / $483.03 / $12,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.00 / $794.00 / $2,577.00