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Oklahoma 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
$891.25 / $2,570.40 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $758.58 / $1,318.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $5,754.40 / $9,332.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $891.25 / $1,122.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,000.00 / $1,230.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $1,122.02 / $6,165.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $933.25 / $6,456.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $4,265.80 / $8,317.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $812.83 / $1,122.02