go back

Kansas 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
$1,700.00 / $4,919.00 / $12,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.11 / $148.19 / $233.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.33 / $149.80 / $244.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.00 / $505.00 / $505.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.07 / $184.87 / $275.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.43 / $204.40 / $2,819.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.63 / $213.76 / $1,925.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.00 / $550.00 / $1,769.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.14 / $198.62 / $278.33