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Washington, DC 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
$851.14 / $2,238.72 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $933.25 / $2,344.23
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,659.59 / $4,073.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,023.29 / $2,187.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $2,089.30 / $2,754.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $8,128.31 / $26,302.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $954.99 / $2,238.72