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Nationwide rates for HCPCS 15120

Split-thickness autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or 1% of body area of infants and children (except 15050)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $3,090.30 / $8,912.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $812.83 / $2,041.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $5,754.40 / $13,489.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $933.25 / $1,778.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $2,570.40 / $7,413.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $1,023.29 / $2,187.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $5,623.41 / $12,302.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $870.96 / $1,621.81