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Georgia 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
$153.55 / $4,592.00 / $6,915.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.29 / $153.55 / $322.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$822.79 / $1,298.54 / $3,132.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.71 / $185.76 / $331.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.34 / $169.90 / $330.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.72 / $185.31 / $416.41
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.78 / $217.04 / $299.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$353.00 / $1,580.00 / $2,665.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.01 / $236.99 / $399.04