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Florida rates for HCPCS 15130

Dermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$529.24 / $3,401.00 / $10,802.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.25 / $561.37 / $773.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $977.92 / $1,164.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.49 / $692.35 / $1,074.03
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,144.00 / $5,731.00 / $11,037.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.70 / $551.36 / $840.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.32 / $516.09 / $839.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,954.00 / $5,887.00 / $10,057.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.85 / $666.40 / $1,189.05
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.41 / $553.79 / $553.79