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Alabama rates for HCPCS 15241

Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet; each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,445.44 / $2,238.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $147.91 / $251.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $3,235.94 / $4,365.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $165.96 / $223.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $147.91 / $398.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $549.54 / $1,348.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $134.90 / $190.55