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Kansas rates for HCPCS 15135

Dermal Autograft F/S/N/H/F/G/M/D Gt 1st 100

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,700.00 / $4,387.00 / $10,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$651.05 / $780.65 / $1,191.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$976.11 / $1,148.36 / $1,296.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$442.00 / $442.00 / $442.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.09 / $1,093.33 / $1,465.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$735.70 / $1,124.76 / $9,451.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$876.69 / $1,033.73 / $6,484.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,779.00 / $3,647.00 / $6,988.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$872.47 / $929.00 / $1,375.54