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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)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.23 / $2,173.00 / $4,841.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.16 / $121.12 / $366.68
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.00 / $446.00 / $446.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.94 / $109.39 / $177.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.15 / $116.75 / $212.52
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.85 / $95.69 / $200.69
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.80 / $56.68 / $199.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.00 / $1,427.00 / $1,998.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.32 / $140.49 / $243.19