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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)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.79 / $2,950.00 / $6,915.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.52 / $117.19 / $225.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.23 / $1,126.70 / $2,098.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.20 / $129.37 / $245.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.71 / $122.32 / $247.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.18 / $136.27 / $291.45
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.14 / $159.80 / $221.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$353.00 / $1,580.00 / $2,665.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.87 / $175.22 / $306.05