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Virginia rates for HCPCS 15131

Dermal Autograft Trunk/Arm/Leg Ea 100 Cm/Ea

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.83 / $2,561.00 / $8,294.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.41 / $98.06 / $111.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.69 / $105.19 / $148.32
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.76 / $97.76 / $916.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.97 / $151.97 / $151.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.35 / $111.94 / $192.85
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.63 / $112.33 / $133.72
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.87 / $109.00 / $161.55
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.00 / $126.15 / $205.54
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.08 / $116.20 / $1,098.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.30 / $129.27 / $1,098.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.00 / $833.00 / $2,375.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $106.00 / $182.74