go back

Alaska rates for HCPCS 15261

Full thickness graft, free, including direct closure of donor site, nose, ears, eyelids, and/or lips; each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)

Facilitymedian $589 · 10th–90th $117–$9,7720%10%10th90th$589Professionalmedian $302 · 10th–90th $129–$6760%5%10th90th$302$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $7,079.46 / $14,125.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $234.42 / $562.34
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $218.78 / $676.08
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$117.49 / $295.12 / $977.24
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $436.52 / $676.08
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $676.08 / $831.76
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$117.49 / $204.17 / $977.24
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $218.78 / $630.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $371.54 / $1,513.56