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Colorado 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
$1,226.00 / $4,955.00 / $10,651.00
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.92 / $129.97 / $209.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.19 / $144.47 / $272.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$658.00 / $1,464.00 / $3,011.00