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Florida 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)

Facilitymedian $3,311 · 10th–90th $347$8,9130%10%10th90th$3,311Professionalmedian $107 · 10th–90th $59$1950%10%20%10th90th$107$10.0$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $3,388.44 / $8,912.51
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $107.15 / $208.93
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $75.86 / $75.86
AvMed
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $2,884.03 / $12,302.69
AvMed
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $112.20 / $147.91
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$117.49 / $117.49 / $436.52
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $109.65 / $199.53
Florida Blue
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$316.23 / $338.84 / $363.08
Florida Blue
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $100.00 / $151.36
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $79.43 / $186.21
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $1,548.82 / $3,890.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $104.71 / $194.98
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $97.72 / $141.25