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Colorado rates for HCPCS 15240

Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet; 20 sq cm or less

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$958.54 / $4,680.93 / $10,651.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$708.94 / $855.64 / $1,284.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,434.00 / $5,126.00 / $9,729.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$919.82 / $1,184.17 / $1,821.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$813.80 / $1,056.32 / $1,413.95
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$818.92 / $1,060.19 / $1,375.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$930.63 / $1,237.74 / $1,842.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,463.00 / $4,182.00 / $7,179.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$956.20 / $1,223.59 / $1,963.77