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Georgia 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
$656.25 / $2,950.00 / $6,915.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.85 / $711.22 / $1,395.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$964.00 / $2,354.21 / $5,240.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607.52 / $871.82 / $1,588.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.05 / $777.73 / $1,463.41
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.73 / $829.94 / $1,180.42
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$876.71 / $1,052.66 / $1,329.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,269.00 / $3,136.00 / $5,352.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.26 / $990.27 / $1,728.01