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Florida 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
$444.68 / $3,401.00 / $10,802.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.33 / $456.08 / $644.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$322.70 / $327.88 / $432.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.60 / $536.34 / $876.97
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,752.00 / $2,882.00 / $6,066.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.19 / $431.57 / $680.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.32 / $444.89 / $699.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.00 / $1,950.00 / $4,970.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.91 / $526.96 / $907.51
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.18 / $450.90 / $450.90