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Georgia 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 $3,020 · 10th–90th $123–$7,4130%5%10th90th$3,020Professionalmedian $115 · 10th–90th $60–$2240%5%10%10th90th$115$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
$117.49 / $3,630.78 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $112.20 / $218.78
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $89.13 / $89.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $1,548.82 / $2,089.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $125.89 / $213.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $117.49 / $251.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $151.36 / $288.40
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $158.49 / $186.21
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$354.81 / $1,348.96 / $2,344.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $138.04 / $269.15