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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
$615.00 / $1,223.00 / $2,250.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532.95 / $636.45 / $766.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,607.25 / $3,164.02 / $4,256.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.15 / $667.62 / $840.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.02 / $658.28 / $1,482.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$650.00 / $1,826.00 / $3,372.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.07 / $696.65 / $830.49