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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $4,897.79 / $7,244.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $758.58 / $1,380.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $13,803.84 / $19,054.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $912.01 / $1,412.54
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $758.58 / $776.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $977.24 / $1,412.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $891.25 / $1,318.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $7,762.47 / $10,964.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $831.76 / $1,348.96