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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

Facilitymedian $4,898 · 10th–90th $912–$10,4710%10%10th90th$4,898Professionalmedian $724 · 10th–90th $562–$1,2590%10%10th90th$724$50.0$200.0$1.0K$5.0K$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
$851.14 / $4,570.88 / $10,471.29
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $724.44 / $1,258.93
AvMed
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$933.25 / $2,137.96 / $11,220.18
AvMed
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $741.31 / $954.99
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $977.24 / $1,174.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $794.33 / $1,348.96
Florida Blue
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,548.13 / $6,309.57 / $11,748.98
Florida Blue
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $660.69 / $1,000.00
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $691.83 / $1,258.93
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,698.24 / $5,495.41 / $9,772.37
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $724.44 / $1,318.26
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $645.65 / $912.01