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Minnesota 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
$729.02 / $855.17 / $2,525.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$729.02 / $855.17 / $1,328.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,417.37 / $6,462.04 / $13,263.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,221.48 / $1,822.44 / $2,983.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,144.40 / $3,041.03 / $7,315.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,444.32 / $2,365.36 / $3,755.51
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,743.25 / $2,780.23 / $5,760.33
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,320.89 / $2,090.25 / $3,455.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$824.72 / $1,336.05 / $2,617.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$992.86 / $1,669.81 / $5,627.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,293.00 / $6,652.00 / $9,810.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$992.86 / $1,494.02 / $3,013.24