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Washington, DC rates for HCPCS 15200

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

Facilitymedian $4,074 · 10th–90th $871–$7,7620%10%20%10th90th$4,074Professionalmedian $741 · 10th–90th $589–$1,6980%10%10th90th$741$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $4,073.80 / $6,456.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $741.31 / $1,698.24
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $724.44 / $6,025.60
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $812.83 / $1,737.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$933.25 / $1,737.80 / $2,344.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,344.23 / $8,912.51 / $25,118.86
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $794.33 / $1,737.80