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Indiana 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

Facilitymedian $10,000 · 10th–90th $1,380$18,6210%5%10%10th90th$10,000Professionalmedian $794 · 10th–90th $631$1,5490%10%20%10th90th$794$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$933.25 / $4,897.79 / $7,244.36
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $741.31 / $1,659.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,344.23 / $13,803.84 / $18,620.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $912.01 / $1,412.54
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $758.58 / $776.25
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $977.24 / $1,698.24
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $912.01 / $1,288.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,951.21 / $7,762.47 / $10,964.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $831.76 / $1,380.38