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Tennessee 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
$606.00 / $2,303.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.94 / $500.17 / $686.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$756.00 / $1,487.00 / $2,257.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.17 / $575.30 / $939.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.82 / $602.12 / $1,351.05
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,145.60 / $2,353.19 / $16,394.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,329.92 / $4,215.04 / $4,975.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$280.00 / $764.00 / $2,577.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.44 / $610.63 / $1,158.58