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Oregon 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
$1,698.24 / $2,630.27 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $954.99 / $2,344.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,659.59 / $2,630.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,737.80 / $2,398.83
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $1,445.44 / $2,818.38
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,659.59 / $2,398.83
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $1,905.46 / $1,995.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $1,412.54 / $2,089.30
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $1,778.28 / $2,511.89
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $5,888.44 / $7,244.36
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $2,041.74 / $2,570.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $5,754.40 / $8,912.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,698.24 / $2,511.89