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Colorado 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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,032.71 / $3,189.00 / $9,888.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$747.71 / $913.50 / $1,445.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,434.00 / $5,126.00 / $9,729.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$981.74 / $1,272.73 / $1,957.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$879.02 / $1,142.00 / $1,520.20
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$869.57 / $1,130.44 / $1,476.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,002.63 / $1,333.50 / $1,985.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,463.00 / $4,182.00 / $7,179.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,028.55 / $1,337.16 / $2,122.67