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Mississippi 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
$680.00 / $1,304.16 / $2,575.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.60 / $942.01 / $1,702.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,065.94 / $1,065.94 / $1,065.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,216.00 / $1,216.00 / $1,216.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,014.96 / $1,014.96 / $2,447.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$675.68 / $1,111.01 / $1,601.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$610.00 / $1,305.00 / $3,046.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$771.30 / $1,005.33 / $1,956.86