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Kansas rates for HCPCS 15116

Epidermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; 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
$1,361.00 / $3,506.00 / $10,439.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.00 / $330.00 / $330.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.75 / $203.48 / $2,819.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.00 / $550.00 / $1,769.00