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Alaska rates for HCPCS 15220

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

Facilitymedian $1,950 · 10th–90th $537–$9,7720%5%10%10th90th$1,950Professionalmedian $1,202 · 10th–90th $589–$2,5120%5%10%10th90th$1,202$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $7,079.46 / $14,125.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $851.14 / $1,995.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $1,023.29 / $2,454.71
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $1,096.48 / $4,168.69
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,778.28 / $2,570.40
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,737.80 / $2,691.53 / $3,311.31
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $851.14 / $4,168.69
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $1,023.29 / $2,344.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $1,584.89 / $2,754.23