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Delaware 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
$303.18 / $468.51 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.97 / $117.97 / $182.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.10 / $192.91 / $280.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.37 / $219.17 / $482.97