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Minnesota 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 $302 · 10th–90th $83–$1,0470%10%10th90th$302Professionalmedian $182 · 10th–90th $83–$3390%10%10th90th$182$1.0$5.0$20.0$100.0$500.0$2.0K

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
$83.18 / $89.13 / $89.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $89.13 / $177.83
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $549.54 / $1,288.25
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $204.17 / $346.74
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$239.88 / $338.84 / $812.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $269.15 / $436.52
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$263.03 / $331.13 / $645.65
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $234.42 / $371.54
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$91.20 / $147.91 / $275.42
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $177.83 / $645.65
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,778.28 / $2,951.21 / $4,677.35
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $169.82 / $346.74