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Nationwide rates for HCPCS 15115

Epidermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or 1% of body area of infants and children

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$768.75 / $2,762.93 / $7,208.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.17 / $719.36 / $1,105.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,143.00 / $3,693.00 / $5,962.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.48 / $845.27 / $1,425.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,191.29 / $1,191.29 / $1,253.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.88 / $963.32 / $1,566.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,263.50 / $2,779.50 / $5,404.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.65 / $935.20 / $1,567.69