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Kentucky 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
$117.20 / $400.00 / $3,740.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,041.00 / $1,968.00 / $2,894.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.32 / $158.68 / $185.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.08 / $235.08 / $235.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $597.00 / $1,895.00