go back

New Jersey 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
$76.80 / $4,294.00 / $9,950.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.69 / $84.41 / $150.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.18 / $105.18 / $205.94
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.96 / $139.57 / $152.72
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.82 / $112.50 / $159.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,141.00 / $3,280.00 / $7,273.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.63 / $98.09 / $187.91