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New York 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
$1,122.02 / $3,467.37 / $11,220.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,000.00 / $2,818.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $4,786.30 / $10,232.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $977.24 / $2,511.89
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,698.24 / $6,165.95
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,412.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $1,659.59 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $1,202.26 / $2,818.38
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $912.01 / $2,630.27
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,380.38 / $2,884.03
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,174.90 / $1,862.09
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $2,691.53 / $5,128.61
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,202.26 / $1,621.81
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $1,174.90 / $1,479.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $3,981.07 / $8,317.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $954.99 / $2,041.74
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $912.01 / $2,630.27
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,230.27 / $2,691.53