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Florida 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
$597.44 / $3,276.00 / $10,632.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.51 / $658.42 / $977.08
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.61 / $674.61 / $674.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.00 / $977.92 / $1,164.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.50 / $730.05 / $1,161.33
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,144.00 / $5,731.00 / $11,037.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.45 / $593.05 / $893.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.98 / $574.15 / $889.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,064.00 / $3,611.00 / $6,730.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$545.95 / $705.79 / $1,216.97
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.07 / $592.86 / $592.86