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Alaska rates for HCPCS 15135

Dermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or 1% of body area of infants and children

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $7,079.46 / $14,125.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $1,047.13 / $3,715.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $2,511.89 / $2,818.38
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $870.96 / $5,248.07
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $2,238.72 / $2,884.03
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $3,090.30 / $3,801.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $1,047.13 / $5,248.07
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $1,258.93 / $2,691.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,995.26 / $3,019.95