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Nationwide rates for HCPCS 15201

Full thickness graft, free, including direct closure of donor site, trunk; each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $3,311.31 / $9,120.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $5,128.61 / $12,022.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $407.38 / $1,230.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $1,202.26 / $3,630.78