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Florida 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
$741.31 / $3,981.07 / $9,332.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $436.52 / $1,659.59
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,023.29 / $1,122.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $1,778.28 / $4,168.69