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Colorado 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
$176.75 / $5,079.00 / $10,651.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.89 / $149.00 / $180.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.82 / $199.83 / $327.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.79 / $176.01 / $265.62
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.73 / $171.10 / $261.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.71 / $180.19 / $339.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$730.00 / $1,464.00 / $3,011.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.94 / $243.02 / $381.20