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Georgia 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
$83.82 / $2,800.00 / $6,915.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.69 / $94.89 / $180.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$552.38 / $848.40 / $1,789.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.82 / $123.10 / $214.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.45 / $102.99 / $187.97
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.89 / $106.12 / $266.12
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.34 / $143.06 / $169.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.00 / $1,550.00 / $2,506.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.80 / $130.22 / $225.60