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Maryland 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
Professional
Modifier
Low / Median / High Price
$630.96 / $776.25 / $2,238.72
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $794.33 / $912.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $891.25 / $1,479.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,071.52 / $1,995.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,023.29 / $2,238.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $870.96 / $1,548.82
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $954.99 / $1,479.11