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Texas 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 $2,818 · 10th–90th $813$9,1200%5%10th90th$2,818Professionalmedian $912 · 10th–90th $692$1,6220%10%10th90th$912$50.0$200.0$1.0K$5.0K$20.0K

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
$812.83 / $3,235.94 / $11,481.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $891.25 / $1,621.81
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $851.14 / $1,778.28
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,513.56 / $2,630.27 / $5,370.32
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $912.01 / $1,380.38
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$933.25 / $1,047.13 / $1,584.89
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $758.58 / $912.01
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $1,071.52 / $1,584.89
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,309.57 / $45,708.82 / $45,708.82
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,760.83 / $7,943.28 / $7,943.28
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $1,071.52 / $4,168.69
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $1,096.48 / $1,862.09
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $741.31
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$691.83 / $933.25 / $1,380.38
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $1,071.52 / $1,659.59
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$776.25 / $2,041.74 / $4,073.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $870.96 / $1,258.93
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$912.01 / $912.01 / $954.99