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Colorado 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
$915.00 / $3,889.00 / $9,872.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.17 / $90.02 / $119.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.61 / $125.31 / $194.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.63 / $114.91 / $148.85
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.02 / $118.93 / $151.22
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.25 / $133.79 / $190.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$675.00 / $1,202.00 / $2,720.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.10 / $131.57 / $228.00