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Arkansas 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
$912.01 / $1,148.15 / $2,041.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $758.58 / $954.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $3,311.31 / $4,570.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $870.96 / $1,148.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $1,621.81 / $1,621.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $870.96 / $1,258.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $2,951.21 / $7,244.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $870.96 / $1,380.38