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Vermont 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
Professional
Modifier
Low / Median / High Price
$70.23 / $135.19 / $187.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.19 / $136.38 / $375.68
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.08 / $187.32 / $375.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.41 / $183.80 / $558.23