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Massachusetts 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
$630.96 / $2,754.23 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $794.33 / $2,187.76
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $5,754.40 / $28,840.32
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,148.15 / $2,511.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $891.25 / $2,041.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,174.90 / $2,454.71
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $1,479.11 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,202.26 / $1,778.28
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $5,248.07 / $11,220.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,318.26 / $2,344.23
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $524.81 / $524.81
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $5,754.40 / $28,840.32
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,148.15 / $2,570.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $5,248.07 / $11,220.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,148.15 / $2,290.87