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Kansas rates for HCPCS 15130

Dermal Autograft Trunk/Arm/Leg 1st 100 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,700.00 / $4,387.00 / $10,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.93 / $631.02 / $973.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$760.60 / $894.82 / $1,057.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$442.00 / $442.00 / $442.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$569.53 / $851.13 / $1,136.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$577.35 / $879.68 / $6,496.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$705.74 / $845.96 / $5,312.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,436.00 / $3,096.00 / $5,565.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$675.06 / $781.76 / $1,066.70