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Nationwide rates for HCPCS 15136

Dermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $2,818.38 / $8,912.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $89.13 / $213.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $3,715.35 / $10,000.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $107.15 / $199.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $269.15 / $812.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $120.23 / $257.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $1,202.26 / $3,630.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $102.33 / $190.55