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Delaware 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
$3,140.00 / $3,140.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.86 / $77.86 / $84.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.37 / $92.70 / $135.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $500.00 / $500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.58 / $104.61 / $230.10