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Nevada 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 / $2,472.00 / $5,923.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$510.00 / $510.00 / $510.00
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.09 / $196.81 / $345.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.00 / $1,754.00 / $2,625.00