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Nevada 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
$137.04 / $2,173.00 / $4,841.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.00 / $446.00 / $446.00
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.35 / $107.26 / $222.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.00 / $1,427.00 / $1,998.00