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Georgia 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
$1,202.26 / $4,168.69 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $794.33 / $1,479.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $2,754.23 / $6,025.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $954.99 / $1,513.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $870.96 / $1,698.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,023.29 / $1,995.26
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,096.48 / $1,288.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $5,754.40 / $8,511.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,071.52 / $1,905.46