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Kansas 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
$1,288.25 / $4,786.30 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $812.83 / $1,445.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,148.15 / $1,288.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $446.68 / $446.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,071.52 / $1,584.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $1,174.90 / $9,549.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,023.29 / $6,456.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $2,884.03 / $6,309.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $933.25 / $1,288.25