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Nevada 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
$851.14 / $2,818.38 / $5,888.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $851.14 / $1,318.26
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $616.60 / $616.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $4,073.80 / $5,888.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $891.25 / $1,548.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,023.29 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $912.01 / $1,380.38
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,047.13 / $1,479.11
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,380.38 / $1,778.28
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $933.25 / $1,778.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $1,995.26 / $6,309.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $933.25 / $1,445.44