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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)

Facilitymedian $2,239 · 10th–90th $132–$5,0120%20%10th90th$2,239Professionalmedian $100 · 10th–90th $1–$2290%10%20%10th90th$100$2.0$10.0$50.0$200.0$1.0K$5.0K

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
$131.83 / $2,454.71 / $5,011.87
Hometown Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.41 / $100.00 / $229.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $1,047.13 / $2,041.74