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Colorado 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
$1,226.00 / $4,955.00 / $10,651.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$673.38 / $774.84 / $1,027.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,427.00 / $7,478.00 / $13,989.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$876.53 / $1,124.03 / $1,729.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$832.26 / $996.68 / $1,318.27
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$784.81 / $1,027.01 / $1,301.73
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$866.37 / $1,158.50 / $1,715.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,804.00 / $8,586.00 / $15,893.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$902.60 / $1,173.38 / $3,010.31