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Massachusetts 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

Facilitymedian $2,512 · 10th–90th $912–$5,6230%5%10th90th$2,512Professionalmedian $1,122 · 10th–90th $708–$2,3440%5%10%10th90th$1,122$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $3,019.95 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $977.24 / $2,238.72
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,778.28 / $3,630.78 / $45,708.82
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $1,202.26 / $2,754.23
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $954.99 / $2,187.76
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,122.02 / $1,819.70 / $2,511.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $1,202.26 / $2,511.89
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $1,023.29 / $3,890.45
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,071.52 / $1,258.93 / $1,621.81
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,778.28 / $3,630.78 / $8,511.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $1,348.96 / $2,454.71
Health New England
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,187.76 / $4,570.88 / $29,512.09
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$977.24 / $1,445.44 / $1,479.11
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,778.28 / $3,630.78 / $45,708.82
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $1,202.26 / $2,754.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,445.44 / $3,630.78 / $8,511.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $1,230.27 / $2,511.89