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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
$251.19 / $3,890.45 / $10,471.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $4,265.80 / $12,022.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $741.31 / $1,862.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $1,202.26 / $3,630.78