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Alaska rates for HCPCS 15260

Full thickness graft, free, including direct closure of donor site, nose, ears, eyelids, and/or lips; 20 sq cm or less

Facilitymedian $2,692 · 10th–90th $741–$9,7720%10%10th90th$2,692Professionalmedian $1,479 · 10th–90th $794–$3,2360%10%10th90th$1,479$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,511.89 / $6,606.93 / $14,125.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $1,174.90 / $2,691.53
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$891.25 / $1,412.54 / $3,235.94
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $2,511.89 / $5,888.44
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,230.27 / $2,290.87 / $3,311.31
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,290.87 / $3,715.35 / $4,365.16
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $1,174.90 / $5,888.44
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $1,380.38 / $3,019.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,047.13 / $2,238.72 / $3,890.45