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Rhode Island 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
$1,020.30 / $2,090.73 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$730.12 / $847.46 / $1,020.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$755.00 / $1,052.33 / $1,487.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$886.21 / $1,137.03 / $2,050.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,812.00 / $4,049.00 / $5,510.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$746.96 / $1,174.09 / $2,121.63