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Minnesota 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
$127.15 / $143.22 / $2,168.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $107.99 / $1,289.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$357.96 / $507.63 / $1,221.18
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.00 / $464.10 / $961.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.22 / $225.29 / $389.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$563.00 / $1,749.00 / $2,883.00