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California rates for HCPCS 15135

Dermal Autograft F/S/N/H/F/G/M/D Gt 1st 100

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$843.24 / $5,382.00 / $16,713.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.86 / $740.29 / $3,980.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,160.00 / $5,944.00 / $13,697.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.71 / $866.27 / $1,801.23
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $7,255.89
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$539.21 / $770.30 / $1,855.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$725.82 / $955.66 / $1,961.86
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$668.28 / $1,016.28 / $1,244.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$754.36 / $1,037.48 / $1,783.81
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,209.26 / $5,321.94 / $16,394.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,508.64 / $6,388.88 / $7,336.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$712.31 / $996.49 / $1,382.55
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$739.52 / $997.53 / $2,001.86
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,469.82 / $2,469.82 / $2,862.92
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.66 / $981.29 / $1,264.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,670.00 / $9,908.00 / $21,278.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$651.84 / $877.93 / $2,156.73