go back

Delaware 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
$3,949.00 / $3,949.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.80 / $659.80 / $772.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$678.70 / $803.04 / $1,141.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$722.08 / $929.17 / $1,277.08