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Arkansas 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)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $1,071.52 / $2,041.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $173.78 / $309.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $204.17 / $269.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $1,621.81 / $1,621.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $194.98 / $316.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $331.13 / $851.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $194.98 / $295.12