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Tennessee 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
$301.23 / $2,133.00 / $7,602.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.00 / $150.00 / $1,676.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.20 / $655.93 / $12,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.00 / $794.00 / $2,577.00