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Texas 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
$672.37 / $2,514.00 / $7,495.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$637.29 / $782.79 / $1,158.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,232.96 / $4,495.71 / $8,663.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$697.47 / $882.83 / $1,250.04
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$658.76 / $658.76 / $876.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.36 / $960.94 / $1,463.89
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,209.26 / $16,394.00 / $16,394.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,508.64 / $6,307.92 / $7,336.50
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$710.22 / $893.11 / $1,270.34
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$868.50 / $1,221.68 / $1,578.71
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$718.76 / $881.76 / $1,151.45
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$697.99 / $898.45 / $1,297.59
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.60 / $1,012.18 / $1,609.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,634.00 / $4,345.00 / $10,600.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.95 / $902.60 / $1,308.77
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.40 / $821.16 / $1,146.99