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Florida 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)

Facilitymedian $3,090 · 10th–90th $550–$8,9130%5%10%10th90th$3,090Professionalmedian $89 · 10th–90th $71–$1480%20%40%10th90th$89$10.0$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$549.54 / $3,311.31 / $9,332.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $87.10 / $144.54
AvMed
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $2,951.21 / $12,302.69
AvMed
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $91.20 / $112.20
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $151.36 / $323.59
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $100.00 / $169.82
Florida Blue
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,348.96 / $2,884.03 / $6,760.83
Florida Blue
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $77.62 / $120.23
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $81.28 / $147.91
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $1,548.82 / $3,890.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $91.20 / $162.18
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $70.79 / $109.65