go back

Nevada 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
$168.03 / $2,472.00 / $5,923.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.51 / $159.40 / $264.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$510.00 / $510.00 / $510.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.94 / $146.29 / $234.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.85 / $161.22 / $284.27
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.20 / $147.86 / $269.07
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $87.58 / $267.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.00 / $1,277.00 / $1,975.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.96 / $194.62 / $326.33