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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
$4,073.80 / $4,073.80 / $7,244.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $1,023.29 / $2,344.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $831.76 / $1,230.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $870.96 / $1,737.80