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Florida 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
$741.31 / $3,981.07 / $9,332.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $776.25 / $1,230.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $1,949.84 / $2,344.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $851.14 / $1,380.38
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $12,022.64 / $22,908.68
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $691.83 / $1,023.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $741.31 / $1,318.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $7,585.78 / $12,022.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $776.25 / $1,412.54
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $676.08 / $831.76