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Texas rates for HCPCS 15200

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

Facilitymedian $2,884 · 10th–90th $794$10,7150%5%10th90th$2,884Professionalmedian $794 · 10th–90th $589$1,3180%10%10th90th$794$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
$812.83 / $3,467.37 / $12,022.64
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $758.58 / $1,318.26
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $302.00 / $302.00
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,548.82 / $2,691.53 / $5,495.41
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $794.33 / $1,288.25
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $588.84 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $933.25 / $1,380.38
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,309.57 / $45,708.82 / $45,708.82
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,025.60 / $7,079.46 / $7,079.46
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $933.25 / $4,073.80
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $1,023.29 / $1,737.80
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $676.08
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $831.76 / $1,230.27
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $933.25 / $1,412.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,445.44 / $3,467.37 / $7,244.36
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $758.58 / $1,096.48
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$831.76 / $831.76 / $891.25