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Alabama 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
$714.66 / $1,223.00 / $2,250.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$682.22 / $736.48 / $887.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,607.25 / $3,164.02 / $4,256.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$657.73 / $901.00 / $1,063.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.80 / $789.45 / $1,631.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,124.00 / $3,384.00 / $5,251.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$658.90 / $812.34 / $964.45