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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
$870.96 / $3,388.44 / $9,332.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $758.58 / $1,737.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $5,011.87 / $10,964.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $912.01 / $1,698.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $2,454.71 / $7,079.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $1,000.00 / $2,137.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $2,951.21 / $6,456.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $851.14 / $1,548.82