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Nevada 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
$776.25 / $2,754.23 / $10,232.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $758.58 / $1,202.26
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $549.54 / $660.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $6,025.60 / $7,762.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $794.33 / $1,318.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $2,041.74 / $2,041.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $812.83 / $1,288.25
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $954.99 / $2,041.74
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,288.25 / $3,019.95
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $870.96 / $1,288.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $3,090.30 / $9,120.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $870.96 / $1,348.96