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Delaware 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
$1,880.03 / $2,242.37 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$731.53 / $867.87 / $872.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.31 / $881.09 / $1,252.52
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,238.97 / $3,238.97 / $3,238.97
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$909.92 / $909.92 / $909.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$719.99 / $1,040.40 / $2,296.67