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Nationwide rates for HCPCS 15221

Full thickness graft, free, including direct closure of donor site, scalp, arms, and/or legs; each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $3,235.94 / $8,912.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $109.65 / $269.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $3,981.07 / $10,000.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $125.89 / $251.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $380.19 / $1,122.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $138.04 / $295.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $1,202.26 / $3,630.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $117.49 / $229.09