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Tennessee 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
$682.22 / $2,303.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.50 / $796.91 / $1,027.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,917.00 / $3,611.00 / $5,737.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.11 / $903.47 / $1,403.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$704.96 / $956.51 / $2,234.71
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,209.26 / $5,321.94 / $16,394.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,508.64 / $6,307.92 / $7,336.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,426.00 / $4,567.00 / $7,604.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$792.52 / $947.73 / $1,739.58