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Alabama 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
$91.53 / $927.00 / $2,250.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.79 / $85.86 / $109.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,607.25 / $3,164.02 / $4,256.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.38 / $106.00 / $125.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $88.94 / $191.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.00 / $850.00 / $1,323.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.55 / $91.92 / $107.24