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Delaware 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
$3,140.00 / $3,140.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.86 / $77.86 / $83.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.09 / $88.78 / $126.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.13 / $106.03 / $227.68