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Nevada 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 $2,239 · 10th–90th $120–$5,0120%20%10th90th$2,239Professionalmedian $110 · 10th–90th $59–$3160%10%20%10th90th$110$2.0$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
$120.23 / $2,454.71 / $5,011.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $109.65 / $316.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $114.82 / $204.17
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $117.49 / $213.80
Hometown Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.09 / $89.13 / $204.17
Hometown Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $85.11 / $199.53
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $131.83 / $173.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $1,047.13 / $2,041.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $123.03 / $245.47