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Nevada 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
$159.09 / $1,706.00 / $4,473.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.00 / $333.00 / $333.00
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.53 / $166.81 / $244.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.00 / $1,277.00 / $1,975.00