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Wyoming 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
Professional
Modifier
Low / Median / High Price
$90.02 / $90.02 / $99.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.00 / $208.00 / $229.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.49 / $125.45 / $172.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.00 / $293.00 / $3,239.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.70 / $171.61 / $331.51