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Arizona rates for HCPCS 15050

Pinch graft, single or multiple, to cover small ulcer, tip of digit, or other minimal open area (except on face), up to defect size 2 cm diameter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,389.00 / $2,912.00 / $6,483.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.97 / $517.66 / $892.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$552.79 / $2,211.19 / $3,616.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.34 / $442.87 / $561.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.88 / $527.83 / $967.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$424.61 / $557.63 / $1,689.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.79 / $570.17 / $4,336.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$704.00 / $1,535.00 / $2,175.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.28 / $553.41 / $754.65