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Nevada 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
$909.50 / $2,173.00 / $4,841.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$747.71 / $904.40 / $1,383.09
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,072.29 / $1,072.29 / $1,072.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,072.00 / $3,931.00 / $5,258.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$701.18 / $903.95 / $1,461.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,032.25 / $1,032.25 / $1,032.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$728.39 / $958.20 / $1,486.93
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$720.41 / $1,093.66 / $1,501.30
Hometown Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,021.63 / $2,021.63 / $2,021.63
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$720.41 / $970.87 / $1,491.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$721.00 / $2,200.00 / $6,244.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$804.24 / $1,028.55 / $1,795.51