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Alabama rates for HCPCS 15131

Dermal autograft, trunk, arms, legs; 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)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $1,445.44 / $1,862.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $91.20 / $134.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $3,235.94 / $4,365.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $97.72 / $112.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $87.10 / $323.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $549.54 / $1,348.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $89.13 / $112.20