search again

Nationwide rates for HCPCS 15220

Full thickness graft, free, including direct closure of donor site, scalp, arms, and/or legs; 20 sq cm or less

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $3,090.30 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $707.95 / $1,621.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $5,011.87 / $10,964.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $794.33 / $1,513.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $2,344.23 / $6,760.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $891.25 / $1,995.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $2,951.21 / $6,456.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $776.25 / $1,412.54