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Nevada 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
$93.68 / $1,706.00 / $4,473.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.17 / $89.60 / $477.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.00 / $333.00 / $333.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.56 / $93.03 / $141.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.09 / $94.22 / $157.19
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.34 / $99.56 / $153.19
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.02 / $73.72 / $150.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.00 / $1,277.00 / $1,975.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.72 / $102.13 / $178.29