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North Dakota rates for HCPCS 15200

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

Facilitymedian $832 · 10th–90th $646–$8,5110%20%10th90th$832Professionalmedian $1,318 · 10th–90th $661–$1,8620%10%10th90th$1,318$1.0K$2.0K$5.0K

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
$645.65 / $812.83 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $831.76 / $1,621.81
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,318.26 / $1,621.81 / $1,949.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,621.81 / $2,238.72
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $933.25 / $1,995.26
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $1,548.82 / $6,165.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,398.83 / $3,019.95 / $3,388.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $1,148.15 / $1,819.70