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Florida 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
$630.00 / $4,003.00 / $11,481.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$547.61 / $683.15 / $974.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.00 / $977.92 / $1,164.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$559.85 / $787.79 / $1,271.90
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,144.00 / $5,731.00 / $11,037.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.47 / $643.30 / $982.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.98 / $597.22 / $998.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,954.00 / $5,887.00 / $10,057.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.03 / $774.12 / $1,336.67
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.35 / $646.74 / $646.74