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California 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
$563.97 / $5,382.00 / $16,713.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.35 / $485.58 / $2,406.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,882.00 / $4,542.00 / $9,244.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.97 / $512.33 / $1,103.48
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $6,881.37
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.74 / $439.63 / $1,016.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.21 / $617.03 / $1,215.36
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.60 / $632.26 / $864.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.64 / $664.14 / $1,117.73
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,145.60 / $3,519.85 / $16,394.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,329.92 / $4,215.04 / $4,975.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$381.23 / $579.77 / $872.64
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.09 / $636.83 / $1,229.80
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,492.90 / $1,492.90 / $1,935.29
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.63 / $300.01 / $654.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$570.00 / $1,506.00 / $5,691.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.02 / $570.17 / $1,331.85