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Nationwide rates for HCPCS 15200

Full thickness graft, free, including direct closure of donor site, trunk; 20 sq cm or less

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $3,890.45 / $10,471.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $758.58 / $1,698.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $6,025.60 / $12,302.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $851.14 / $1,621.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $1,862.09 / $6,165.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $977.24 / $2,137.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $4,168.69 / $9,549.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $831.76 / $1,548.82