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Kansas 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
$1,202.26 / $3,630.78 / $8,128.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $933.25 / $2,137.96
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $933.25 / $1,862.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $2,187.76 / $2,290.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,348.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $446.68 / $446.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,174.90 / $1,819.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $1,174.90 / $5,888.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,122.02 / $7,413.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,445.44 / $3,311.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,023.29 / $1,412.54