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Washington, DC 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
$619.38 / $3,575.00 / $4,601.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.38 / $482.48 / $619.38
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.44 / $491.44 / $1,845.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.79 / $536.54 / $1,597.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$708.30 / $1,372.66 / $1,634.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.00 / $442.00 / $5,940.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.94 / $600.37 / $1,586.22