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Florida 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
$758.58 / $3,311.31 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $870.96 / $2,041.74
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $870.96 / $1,047.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $977.24 / $1,862.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $891.25 / $1,479.11
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $5,888.44 / $11,481.54
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $707.95 / $1,047.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $776.25 / $1,380.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $3,548.13 / $6,760.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $812.83 / $1,479.11
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $616.60 / $724.44