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Florida 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
$80.84 / $3,258.00 / $10,802.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.69 / $83.80 / $113.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $323.00 / $323.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.97 / $101.10 / $157.18
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,144.00 / $2,674.00 / $6,696.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.64 / $77.90 / $117.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.54 / $103.65 / $140.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$351.00 / $1,954.00 / $4,970.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.31 / $92.95 / $168.75
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.68 / $75.31 / $75.31