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Nationwide rates for HCPCS 15121

Split-thickness 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
$206.64 / $2,986.00 / $7,761.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,643.00 / $3,346.00 / $5,911.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$506.02 / $542.50 / $657.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.50 / $1,189.50 / $2,699.00