go back

Oklahoma 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)

Facilitymedian $5,248 · 10th–90th $214–$11,4820%10%10th90th$5,248$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$213.80 / $2,630.27 / $6,760.83
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,128.61 / $7,943.28 / $12,882.50
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$134.90 / $234.42 / $1,659.59
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$138.04 / $602.56 / $1,584.89