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Wyoming 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
Professional
Modifier
Low / Median / High Price
$774.84 / $774.84 / $892.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,340.00 / $1,786.00 / $2,061.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$842.48 / $1,129.52 / $1,520.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,200.00 / $4,200.00 / $14,634.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.26 / $1,500.60 / $2,707.80