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Massachusetts 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
$636.78 / $2,618.00 / $3,625.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.95 / $698.39 / $1,967.13
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,672.00 / $5,209.26 / $9,401.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$669.12 / $1,335.51 / $5,508.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$894.79 / $1,163.23 / $2,052.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$836.09 / $1,308.45 / $2,864.88
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$756.59 / $1,631.56 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$963.07 / $1,205.50 / $1,664.06
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$937.57 / $1,888.27 / $2,667.86
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.71 / $524.71 / $524.71
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $5,209.26 / $16,394.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$937.62 / $1,592.82 / $6,307.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $4,983.00 / $8,810.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$799.89 / $1,237.04 / $2,671.55