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Alabama 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
$758.58 / $1,445.44 / $2,398.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $707.95 / $1,174.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $3,235.94 / $4,365.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $660.69 / $831.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $660.69 / $2,187.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $1,737.80 / $3,090.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $630.96 / $831.76