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California rates for HCPCS 15131

Dermal Autograft Trunk/Arm/Leg Ea 100 Cm/Ea

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.47 / $4,848.00 / $16,125.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.92 / $86.51 / $477.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,787.00 / $4,539.00 / $9,381.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.28 / $96.49 / $194.46
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.80 / $100.00 / $5,238.60
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.45 / $96.60 / $216.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.68 / $107.59 / $214.21
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.88 / $110.52 / $133.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.04 / $116.69 / $204.23
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.21 / $436.76 / $12,000.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.40 / $758.33 / $831.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.79 / $112.81 / $150.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.20 / $113.46 / $229.36
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.04 / $296.04 / $321.29
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.88 / $109.36 / $160.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$587.00 / $1,523.00 / $6,323.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.22 / $100.10 / $240.58