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Oregon 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 $1,820 · 10th–90th $1,096–$9,5500%20%10th90th$1,820Professionalmedian $1,047 · 10th–90th $692–$2,1880%10%10th90th$1,047$100.0$500.0$2.0K$10.0K$50.0K$200.0K$1.0M

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
$1,584.89 / $2,454.71 / $13,182.57
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $912.01 / $2,041.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$977.24 / $1,659.59 / $2,511.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,659.59 / $2,238.72
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $1,348.96 / $2,454.71
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,584.89 / $2,344.23
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,122.02 / $1,778.28 / $1,862.09
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $1,318.26 / $2,187.76
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $1,659.59 / $2,344.23
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,570.88 / $6,309.57 / $7,413.10
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,412.54 / $1,905.46 / $2,570.40
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,454.71 / $6,309.57 / $8,912.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,584.89 / $2,344.23