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New Jersey 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
$3,090.30 / $5,888.44 / $10,715.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $758.58 / $4,168.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $933.25 / $1,862.09
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,288.25 / $1,445.44
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $11,748.98 / $18,620.87
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $1,000.00 / $1,584.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $7,585.78 / $15,135.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $707.95 / $1,548.82