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Oregon 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)

Facilitymedian $331 · 10th–90th $155–$7,9430%10%20%10th90th$331Professionalmedian $200 · 10th–90th $95–$4900%5%10%10th90th$200$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $389.05 / $13,182.57
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $158.49 / $562.34
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $257.04 / $457.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $223.87 / $436.52
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$123.03 / $229.09 / $426.58
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $295.12 / $416.87
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $338.84 / $354.81
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$120.23 / $218.78 / $389.05
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $245.47 / $436.52
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $316.23 / $436.52
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$389.05 / $4,073.80 / $6,165.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $257.04 / $446.68