go back

Kansas 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
$1,361.00 / $3,506.00 / $10,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.69 / $86.31 / $130.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.72 / $144.38 / $156.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.00 / $330.00 / $330.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.56 / $128.24 / $163.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $125.30 / $2,819.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.99 / $124.50 / $758.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.00 / $658.00 / $1,915.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.23 / $105.49 / $153.44