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Nevada rates for HCPCS 15130

Dermal Autograft Trunk/Arm/Leg 1st 100 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$702.40 / $2,173.00 / $4,841.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532.54 / $659.29 / $3,141.73
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,072.00 / $3,931.00 / $5,258.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.59 / $622.30 / $1,056.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,032.25 / $1,032.25 / $1,032.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.54 / $664.81 / $1,109.31
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.02 / $820.20 / $1,296.30
Hometown Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,021.63 / $2,021.63 / $2,021.63
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$543.17 / $694.63 / $1,146.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,282.00 / $2,331.00 / $7,138.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$613.12 / $744.53 / $1,299.70