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Massachusetts rates for HCPCS 15130

Dermal Autograft Trunk/Arm/Leg 1st 100 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$516.03 / $2,663.12 / $3,625.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.41 / $561.37 / $845.40
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,313.00 / $3,046.94 / $9,151.39
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.99 / $1,105.82 / $4,326.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$714.57 / $928.94 / $1,639.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.27 / $1,052.51 / $2,274.78
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.36 / $1,302.94 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$797.64 / $1,005.38 / $1,387.81
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.42 / $1,524.75 / $2,212.69
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.00 / $3,764.00 / $16,394.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$780.33 / $1,294.59 / $5,170.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.00 / $3,764.00 / $8,766.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$673.35 / $1,030.79 / $2,094.35