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North Carolina 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
$736.96 / $1,152.84 / $7,278.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$637.29 / $736.96 / $857.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.93 / $973.79 / $1,759.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$801.58 / $1,003.34 / $1,907.84
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$736.96 / $910.63 / $1,254.93
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.00 / $600.00 / $1,049.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,366.00 / $9,541.00 / $14,589.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$694.60 / $857.36 / $2,003.66
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,209.26 / $5,209.26 / $16,394.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,508.64 / $6,307.92 / $7,336.50