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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
$758.58 / $1,445.44 / $2,238.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $831.76 / $1,230.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $3,235.94 / $4,365.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $891.25 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $794.33 / $2,630.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $3,630.78 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $741.31 / $954.99