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Colorado 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
$1,226.00 / $4,955.00 / $10,651.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532.95 / $662.76 / $822.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,434.00 / $5,126.00 / $9,729.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$720.91 / $962.61 / $1,477.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.60 / $859.82 / $1,172.86
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$638.65 / $838.40 / $1,127.68
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$729.89 / $1,001.92 / $1,526.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,349.00 / $3,397.00 / $6,686.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$793.25 / $1,021.23 / $1,868.30