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New Jersey 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
$1,445.44 / $5,754.40 / $10,471.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,047.13 / $2,630.27
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,122.02 / $1,445.44
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,096.48 / $1,096.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $1,047.13 / $2,238.72
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,445.44 / $1,621.81
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $5,128.61 / $9,120.11
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,122.02 / $2,041.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $5,128.61 / $8,709.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $776.25 / $1,737.80