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Delaware 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
$807.83 / $2,092.87 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$689.59 / $799.87 / $814.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$625.67 / $825.15 / $1,173.01
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,158.55 / $6,158.55 / $6,158.55
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$800.43 / $800.43 / $846.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$670.22 / $960.26 / $2,138.46