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North Carolina 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
$851.14 / $1,659.59 / $7,585.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $794.33 / $1,659.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $977.24 / $1,819.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,071.52 / $1,778.28
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,348.96 / $1,412.54
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $912.01 / $1,202.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $9,549.93 / $14,454.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $812.83 / $1,621.81
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,220.18 / $11,220.18 / $28,840.32
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,309.57 / $6,309.57 / $7,413.10